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Organization

FAITH HOME ASSISTED LIVING CORPORATION

Active
Parent organization
FAITH LUTHERAN HOME CORPORATION
Other names
Faith Home Assisted Living
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAITH LUTHERAN HOME CORPORATION
Authorized official
MRS. LADONNA MARIE GUNDERSON (ADMINISTRATOR)
(641) 732-5511
Entity
Organization

Contact information

Practice address
912 DAVIDSON DR, OSAGE, IA 50461-1474
(641) 832-2580
(641) 832-2582
Mailing address
912 DAVIDSON DR, OSAGE, IA 50461-1474
(641) 832-2580
(641) 832-2582

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0231
IA

Other

Enumeration date
09/20/2007
Last updated
09/20/2007
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