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Organization
UNITED LUTHERAN PROGRAM FOR THE AGING, INC.
Active
Organization
UNITED LUTHERAN PROGRAM FOR THE AGING, INC.
Active
Parent organization
UNITED LUTHERAN PROGRAM FOR THE AGING, INC
Other names
Luther Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED LUTHERAN PROGRAM FOR THE AGING, INC
Authorized official
ARTHUR ALLEN KEUP (CFO)
(414) 464-6396
Entity
Organization
Contact information
Practice address
4545 N 92ND ST, MILWAUKEE, WI 53225
(414) 464-3880
(414) 464-5834
Mailing address
4545 N 92ND ST, MILWAUKEE, WI 53225-4807
(414) 464-3880
(414) 464-5834
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
0934
WI
314000000X
Skilled Nursing Facility
Primary
0934
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20134000
—
WI
Enumeration date
06/13/2008
Last updated
07/02/2018
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