# UNITED LUTHERAN PROGRAM FOR THE AGING, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNITED LUTHERAN PROGRAM FOR THE AGING, INC
- **Other names:** The Clinic at Luther Manor
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467948380
- **Legal business name:** UNITED LUTHERAN PROGRAM FOR THE AGING, INC
- **Authorized official:** ARTHUR ALLEN KEUP (CFO)
- **Authorized official phone:** (414) 464-6396

## Contact information

- **Practice address:** 4545 N 92ND ST, WAUWATOSA, WI 53225-4807
- **Practice address phone:** (414) 464-6396
- **Mailing address:** 4545 N 92ND ST, WAUWATOSA, WI 53225-4807
- **Mailing address phone:** (414) 464-6396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/03/2018
- **Last updated:** 07/03/2018