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General NPI Number Information
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NPI Number | 1124068689
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Entity Type | Organization
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Legal Business Name | AMERICAN LUTHERAN HOMES, INC.
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 915 ELM AVE E
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City | MENOMONIE
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State | WI
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Zip | 54751-1613
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Country | US
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Telephone | 715-235-9041
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Fax | 715-235-2289
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Provider Business Mailing Address
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Address Line | PO BOX 287
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City | EAU CLAIRE
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State | WI
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Zip | 54702-0287
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Country | US
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Telephone | 715-832-3003
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Fax | 715-832-3021
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Authorized Official
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Title or Position | CEO
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Name | AMY DUHR
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Credential |
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Telephone | 715-832-3003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 2012
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License Number State | WI
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