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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:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
IANF-452
N314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
IANF-452
Y313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
IANF-452

Other Provider Identifiers:

IssuerNumberStateType
0802280IA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS IA - Page 1



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