Organization
ST LUKE HOMES & SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN B CAMPBELL (CEO/ADMINISTRATOR)
(712) 262-5931
Entity
Organization
Contact information
Practice address
1301 SAINT LUKE DR, SPENCER, IA 51301-6043
(712) 262-5931
(712) 262-4743
Mailing address
1301 SAINT LUKE DR, SPENCER, IA 51301-6043
(712) 262-5931
(712) 262-4743
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
0158725
IA
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0803775
IA
314000000X
Skilled Nursing Facility
165484
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803775
—
IA
Enumeration date
09/29/2005
Last updated
07/22/2013
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