Organization
LUTHER PARK HEALTH CENTER INC
Active
Other names
Trinity Center at Luther Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER C. WEGNER (PRESIDENT)
(515) 262-5639
Entity
Organization
Contact information
Practice address
1555 HULL AVE, DES MOINES, IA 50316-1341
(515) 262-5639
(515) 266-2688
Mailing address
1555 HULL AVE, DES MOINES, IA 50316-1341
(515) 262-5639
(515) 266-2688
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
770825
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802306
—
IA
Enumeration date
12/19/2006
Last updated
03/13/2015
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