Organization
LUTHERAN LIFE VILLAGES HOME HEALTHCARE INC
Active
Other names
Lutheran Life Villages The Villages at Birchwood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX KIEFER (CEO)
(260) 447-0800
Entity
Organization
Contact information
Practice address
8151 GLENCARIN BLVD, FORT WAYNE, IN 46804-5799
(260) 432-0011
Mailing address
8151 GLENCARIN BLVD, FORT WAYNE, IN 46804-5799
(260) 432-0011
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201054720A
—
IN
05
—
201054720B
—
IN
Enumeration date
09/29/2014
Last updated
09/29/2014
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