Organization
LUTHER HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EDWARD FLAHERTY (ADMINISTRATOR)
(320) 269-6517
Entity
Organization
Contact information
Practice address
1109 E HIGHWAY 7, MONTEVIDEO, MN 56265-1711
(320) 269-6517
(320) 269-6510
Mailing address
1109 E HIGHWAY 7, MONTEVIDEO, MN 56265-1711
(320) 269-6517
(320) 269-6510
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
388169
MN
Other
Enumeration date
06/17/2005
Last updated
08/22/2020
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