Organization
ST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKES
Active
Parent organization
ST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKES
Authorized official
JOYCE L MOHLER (CFO)
(330) 499-8341
Entity
Organization
Contact information
Practice address
615 LATHAM LN, NEW FRANKLIN, OH 44319-4338
(330) 644-3914
(330) 644-8966
Mailing address
220 APPLEGROVE ST NE, NORTH CANTON, OH 44720-1610
(330) 499-8341
(330) 497-6141
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2444797
—
OH
Enumeration date
12/30/2020
Last updated
12/30/2020
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