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Organization

ST. JOHN'S LUTHERAN HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINETTE MARIE KLEINSCHRODT RN (REIMBURSEMENT COORDINATOR)
(507) 373-8226
Entity
Organization

Contact information

Practice address
901 LUTHER PL, ALBERT LEA, MN 56007-1562
(507) 373-8226
(507) 379-9507
Mailing address
901 LUTHER PL, ALBERT LEA, MN 56007-1562
(507) 373-8226
(507) 379-9507

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
328213
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
079040100
MN
Enumeration date
08/31/2005
Last updated
07/06/2017
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