Organization
LUTHERAN NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ALAN TEBBENKAMP (OFFICE MANAGER)
(660) 463-2267
Entity
Organization
Contact information
Practice address
202 S WEST ST, CONCORDIA, MO 64020-9643
(660) 463-2267
(660) 463-7116
Mailing address
202 S WEST ST, P.O. BOX 849, CONCORDIA, MO 64020-9643
(660) 463-2267
(660) 463-7116
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
029282
MO
Other
Enumeration date
08/24/2005
Last updated
08/22/2020
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