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Organization
LUTHER PARK HEALTH CENTER INC
Active
Organization
LUTHER PARK HEALTH CENTER INC
Active
Other names
Trinity Center at Luther Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER C. WEGNER (PRESIDENT)
(515) 262-5639
Entity
Organization
Contact information
Practice address
1555 HULL AVE, DES MOINES, IA 50316-1341
(515) 262-5639
(515) 266-2688
Mailing address
1555 HULL AVE, DES MOINES, IA 50316-1341
(515) 262-5639
(515) 266-2688
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
770825
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802306
—
IA
Enumeration date
12/19/2006
Last updated
03/13/2015
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