Organization
LUTHERAN HOME BELLE PLAINE LLC
Active
Parent organization
THE LUTHERAN HOME ASSOCIATION
Other names
The Lutheran Home Hope Residence
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LUTHERAN HOME ASSOCIATION
Authorized official
MARY SUE MEGER CPA (CFO)
(952) 873-4758
Entity
Organization
Contact information
Practice address
611 W MAIN ST, BELLE PLAINE, MN 56011-1221
(952) 873-2143
(952) 873-2147
Mailing address
611 W MAIN ST, BELLE PLAINE, MN 56011-1221
(952) 873-2142
(952) 873-2147
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
334809
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192045600
—
MN
Enumeration date
03/13/2007
Last updated
04/18/2017
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