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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