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LAKESIDE LUTHERAN HOME

Alzheimer Center

Emmetsburg, Iowa

Provider NPI: 1902981061

Organization Information:
Organization Name:  LAKESIDE LUTHERAN HOME


Practice Location:
301 N LAWLER ST  EMMETSBURG, IA 50536 US
Tel: 712-852-4060  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
IA740436
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
IA740436

Other Provider Identifiers:

IssuerNumberStateType
0802181IA05
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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