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Organization
LAKE REGION LUTHERAN HOME, INC.
Active
Organization
LAKE REGION LUTHERAN HOME, INC.
Active
Other names
Heartland Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARISSA OLSON LNHA (CEO)
(701) 662-4905
Entity
Organization
Contact information
Practice address
620 14TH AVE NE, DEVILS LAKE, ND 58301-2808
(701) 662-4905
(701) 662-9170
Mailing address
620 14TH AVE NE, DEVILS LAKE, ND 58301-2808
(701) 662-4905
(701) 662-9170
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1013A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D30010
—
ND
Enumeration date
08/23/2005
Last updated
07/10/2014
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