Organization
MARTIN LUTHER HOME CORPORATION
Active
Other names
Luther Manor Retirement Home
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HARKEY (ADMINISTRATOR)
(563) 690-6628
Entity
Organization
Contact information
Practice address
3131 HILLCREST RD, DUBUQUE, IA 52001
(563) 588-1413
(563) 588-2770
Mailing address
3131 HILLCREST RD, DUBUQUE, IA 52001-3908
(563) 588-1413
(563) 588-2770
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311500000X
Alzheimer Center (Dementia Center)
NF-452
IA
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NF-452
IA
314000000X
Skilled Nursing Facility
NF-452
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802280
—
IA
Enumeration date
09/06/2005
Last updated
03/04/2022
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