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Organization

UNITED LUTHERAN PROGRAM FOR THE AGING, INC

Active
Parent organization
UNITED LUTHERAN PROGRAM FOR THE AGING, INC
Other names
The Clinic at Luther Manor
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNITED LUTHERAN PROGRAM FOR THE AGING, INC
Authorized official
ARTHUR ALLEN KEUP (CFO)
(414) 464-6396
Entity
Organization

Contact information

Practice address
4545 N 92ND ST, WAUWATOSA, WI 53225-4807
(414) 464-6396
Mailing address
4545 N 92ND ST, WAUWATOSA, WI 53225-4807
(414) 464-6396

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
07/03/2018
Last updated
07/03/2018
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