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Organization
AMERICAN LUTHERAN CHURCH
Active
Organization
AMERICAN LUTHERAN CHURCH
Active
Parent organization
AMERICAN LUTHERAN CHURCH
Other names
Salem Lutheran Homes
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN LUTHERAN CHURCH
Authorized official
RAYE NAE NYLANDER (VICE PRESIDENT CFO)
(605) 362-3100
Entity
Organization
Contact information
Practice address
2027 COLLEGE, ELK HORN, IA 51531-0703
(712) 764-4201
(712) 764-4206
Mailing address
2027 COLLEGE ST, ELK HORN, IA 51531-8007
(712) 764-4201
(712) 764-4206
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
830061
IA
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803551
—
IA
01
—
65155
BC/BS THERAPY AND CI
IA
Enumeration date
01/03/2006
Last updated
08/12/2014
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