Organization
FOND DU LAC LUTHERAN HOME, INC.
Active
Other names
Tarfa Terrace, Wellness and Rehab Center, Fond Du Lac Lutheran Home, Lutheran Home and Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANNE MARKS (CFO)
(920) 206-4983
Entity
Organization
Contact information
Practice address
244 N MACY ST, FOND DU LAC, WI 54935-3362
(920) 951-9520
(920) 921-0819
Mailing address
244 N MACY ST, FOND DU LAC, WI 54935-3362
(920) 951-9520
(920) 921-0819
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
0047
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20129000
—
WI
Enumeration date
09/26/2005
Last updated
10/14/2025
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