# MARTIN LUTHER HOME CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Luther Manor Retirement Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508850512
- **Authorized official:** KIM HARKEY (ADMINISTRATOR)
- **Authorized official phone:** (563) 690-6628

## Contact information

- **Practice address:** 3131 HILLCREST RD, DUBUQUE, IA 52001
- **Practice address phone:** (563) 588-1413
- **Practice address fax:** (563) 588-2770
- **Mailing address:** 3131 HILLCREST RD, DUBUQUE, IA 52001-3908
- **Mailing address phone:** (563) 588-1413
- **Mailing address fax:** (563) 588-2770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 311500000X | Alzheimer Center (Dementia Center) | NF-452 | IA | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NF-452 | IA | Yes |
| 314000000X | Skilled Nursing Facility | NF-452 | IA | — |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 03/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0802280 | — | IA |