Organization
LUTHERAN HOME FOR THE AGED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MCCANN CPA (CONTROLLER)
(573) 335-0158
Entity
Organization
Contact information
Practice address
2825 BLOOMFIELD RD, CAPE GIRARDEAU, MO 63703-6335
(573) 335-0158
(573) 986-6312
Mailing address
2825 BLOOMFIELD RD, CAPE GIRARDEAU, MO 63703-6335
(573) 335-0158
(573) 986-6312
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MO
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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