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Lake Region Lutheran Home, Inc.
Nursing Facility/Intermediate Care Facility in Devils Lake, North Dakota
NPI 1689667834

Lake Region Lutheran Home, Inc. is a Nursing Facility/Intermediate Care Facility based in Devils Lake, ND. Lake Region Lutheran Home, Inc. practices in Devils Lake, ND. The NPI Number for Lake Region Lutheran Home, Inc. is 1689667834 and holds a License No. 1013A (North Dakota).

The current practice location address for Lake Region Lutheran Home, Inc. is 620 14Th Ave Ne, Devils Lake, ND and can be reached out via phone at 701-662-4905 and via fax at 701-662-9170.

Location: 620 14Th Ave Ne, Devils Lake, ND, 58301-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689667834
Provider Name
Lake Region Lutheran Home, Inc.
Credential
Provider Entity Type
Organization
Address
620 14Th Ave Ne, Devils Lake, ND, 58301-2808
Phone Number
701-662-4905
Fax Number
701-662-9170
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D30010 05 ND
institution
Provider Business Practice Location Address Details
Address
620 14Th Ave Ne
City
Devils Lake
State
North Dakota
Zip
58301-2808
Phone Number
701-662-4905
Fax Number
701-662-9170
person
Provider Business Mailing Address Details
Address
620 14Th Ave Ne
City
Devils Lake
State
North Dakota
Zip
58301-2808
Phone Number
701-662-4905
Fax Number
701-662-9170
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
1013A (North Dakota)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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