Organization
FOND DU LAC LUTHERAN HOME, INC.
Active
Other names
Tarfa Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANNE MARKS (CFO)
(920) 261-0400
Entity
Organization
Contact information
Practice address
244 N MACY ST, FOND DU LAC, WI 54935-3362
(920) 921-9520
(920) 921-0819
Mailing address
1045 HILL ST, WATERTOWN, WI 53098-3001
(920) 921-9520
(920) 921-0819
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100383243
—
WI
Enumeration date
05/29/2026
Last updated
07/10/2026
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