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Organization
MARTIN LUTHER HOME CORPORATION
Active
Organization
MARTIN LUTHER HOME CORPORATION
Active
Other names
Luther Manor Retirement Home
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HARKEY (ADMINISTRATOR)
(563) 690-6628
Entity
Organization
Contact information
Practice address
3131 HILLCREST RD, DUBUQUE, IA 52001
(563) 588-1413
(563) 588-2770
Mailing address
3131 HILLCREST RD, DUBUQUE, IA 52001-3908
(563) 588-1413
(563) 588-2770
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
NULL
311500000X
Alzheimer Center (Dementia Center)
NF-452
IA
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NF-452
IA
314000000X
Skilled Nursing Facility
NF-452
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802280
—
IA
Enumeration date
09/06/2005
Last updated
03/04/2022
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