Organization
LUTHERAN ORPHANS AND OLD FOLKS HOME AT WOLF CREEK
Active
Parent organization
LUTHERAN HOMES SOCIETY, INC.
Other names
Lutheran Village at Wolf Creek
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN HOMES SOCIETY, INC.
Authorized official
MARY M SHURTS (TREASURER)
(419) 861-4990
Entity
Organization
Contact information
Practice address
2001 PERRYSBURG HOLLAND RD, HOLLAND, OH 43528-7005
(419) 861-2233
(419) 861-2234
Mailing address
2021 N MCCORD RD, STE B, TOLEDO, OH 43615-3030
(419) 861-4990
(419) 861-2710
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000319925
ANTHEM/BCBS
OH
05
—
2020360
—
OH
Enumeration date
06/04/2006
Last updated
04/20/2008
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