Organization Name: | LUTHERAN CARE CENTER |
NPI Number: | 1497736268 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN J. HILLE (ADMINISTRATOR) |
Mailing Address: | 702 W Cumberland Rd Altamont |
State: | IL US |
Postal Code: | 624111053 |
Phone Number: | 6184836136 |
Fax Number: | 6184835607 |
NPI Enumeration Date: | 11/09/2005 |
NPI Last Update Date: | 07/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |