Organization
LUTHERAN HOME FOR THE AGED ASSOCIATION-EAST
Active
Parent organization
LUTHERAN HOME FOR THE AGED ASSOCIATION-EAST
Other names
Davenport Lutheran Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN HOME FOR THE AGED ASSOCIATION-EAST
Authorized official
DIANE GLOEDE (COO)
(319) 472-4211
Entity
Organization
Contact information
Practice address
1130 W 53RD ST, DAVENPORT, IA 52806-2401
(563) 391-5342
(319) 472-2256
Mailing address
PO BOX 559, VINTON, IA 52349-0559
(319) 472-4211
(319) 472-2256
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
820211
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800961
—
IA
Enumeration date
11/08/2006
Last updated
07/13/2016
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