Organization
ST. LUKE LUTHERAN HOME FOR THE AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE L MOHLER (CFO)
(330) 499-8341
Entity
Organization
Contact information
Practice address
220 APPLEGROVE ST. NE, NORTH CANTON, OH 44720
(330) 499-8341
(330) 497-6141
Mailing address
220 APPLEGROVE ST NE, NORTH CANTON, OH 44720-1610
(330) 499-8341
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
001252H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7648808
—
OH
Enumeration date
10/02/2006
Last updated
12/30/2020
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