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LUTHER MEMORIAL HOME

Assisted Living Facility

Mayville, North Dakota

Provider NPI: 1497755185

Organization Information:
Organization Name:  LUTHER MEMORIAL HOME


Practice Location:
750 MAIN ST E  MAYVILLE, ND 58257 US
Tel: 701-786-3401  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
ND027
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
NDAL23
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
ND1039A

Other Provider Identifiers:

IssuerNumberStateType
ND BLUE CROSS BLUE SHIELD001115ND01
30024ND05
MN BLUE CROSS BLUE SHIELD9846LUMN01
3050271 00MN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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