Organization
LUTHERAN MEMORIAL HOME
Active
Parent organization
LUTHERAN HOMES SOCIETY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN HOMES SOCIETY, INC.
Authorized official
MARY M SHURTS (TREASURER)
(419) 861-4990
Entity
Organization
Contact information
Practice address
795 BARDSHAR RD, SANDUSKY, OH 44870-1505
(419) 625-4046
(419) 625-0821
Mailing address
2021 N MCCORD RD, TOLEDO, OH 43615-3030
(419) 861-4990
(419) 861-2710
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2854
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000283851
ANTHEM BC/BS
OH
05
—
2134381
—
OH
01
—
3780707
CIGNA
OH
Enumeration date
07/02/2006
Last updated
04/20/2008
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