Organization Name: | LUTHERAN RETIREMENT HOME, INC. |
NPI Number: | 1528051901 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT HALBACH (ADMINISTRATOR) |
Mailing Address: | 701 9th St N Northwood |
State: | IA US |
Postal Code: | 504591004 |
Phone Number: | 6413241712 |
Fax Number: | 6413243091 |
NPI Enumeration Date: | 08/31/2005 |
NPI Last Update Date: | 11/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311500000X |
License Number: | 980326 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Alzheimer Center (Dementia Center) |
Taxonomy Specialization: | |
Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |