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General NPI Number Information
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NPI Number | 1215978697
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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 | 06/09/2006
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 200 MEMORIAL DR
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City | MONDOVI
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State | WI
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Zip | 54755-1325
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Country | US
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Telephone | 715-926-4962
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Fax | 715-926-3933
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Provider Business Mailing Address
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Address Line | 822 PORTER AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-3813
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Country | US
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Telephone | 715-832-3007
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Fax | 715-832-3737
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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 | 3223
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License Number State | WI
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