MARTIN LUTHER HOME CORPORATION
Alzheimer Center
Dubuque, Iowa
Provider NPI: 1508850512
Organization Information:Organization Name: MARTIN LUTHER HOME CORPORATION
Practice Location:
3131 HILLCREST RD DUBUQUE, IA 52001 US
Tel: 563-588-1413 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3131 HILLCREST RD DUBUQUE, IA 52001 US
Tel: 563-588-1413 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | IA | NF-452 |
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IA | NF-452 |
Y | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | IA | NF-452 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0802280 | IA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin