Lincoln Lutheran Community Care Corporation
NPI #1871677963 in Racine, Wisconsin
Provider Information
- NPI Number
- 1871677963
- Entity Type
- Organization
- Organization Name
- Lincoln Lutheran Community Care Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LINCOLN LUTHERAN HOME OF RACINE INC.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Feb 16, 2012
Practice Location
Authorized Official
- Name
- FRED RICHARD BOVA JR., CPA
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (262) 898-2701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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| Provider Name | |
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