# LUTHERAN HOME FOR THE AGED ASSOCIATION-WEST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Perry Lutheran Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861549719
- **Authorized official:** MR. DOUGLAS DEAN WOOD (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (515) 465-5342

## Contact information

- **Practice address:** 2323 WILLIS AVE, PERRY, IA 50220-2148
- **Practice address phone:** (515) 465-5342
- **Practice address fax:** (515) 465-5344
- **Mailing address:** 2323 WILLIS AVE, PERRY, IA 50220-2148
- **Mailing address phone:** (515) 465-5342
- **Mailing address fax:** (515) 465-5344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 250186 | IA | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0805242 | — | IA |
