Organization
THE LUTHERAN HOME: CEDAR HAVEN
Active
Parent organization
THE LUTHERAN HOME ASSOCIATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LUTHERAN HOME ASSOCIATION
Authorized official
MR. MICHAEL R KLATT (PRESIDENT/CEO)
(952) 873-4750
Entity
Organization
Contact information
Practice address
640 REED ST, MANKATO, MN 56001-4306
(507) 625-1512
(507) 388-6428
Mailing address
640 REED ST, MANKATO, MN 56001-4306
(507) 625-1512
(507) 388-6428
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
358703
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358703
—
MN
Enumeration date
12/11/2013
Last updated
12/11/2013
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