NPI 1619536976
Lake Region Lutheran Home, INC.
Practice location
- Address
- 1332 10th St NE, Devils Lake, ND 58301-2329
- Phone
- (701) 662-1880
- Fax
- (701) 662-1084
- Mailing address
- 801 Main Ave STE 201, Moorhead, MN 56560-2871
Authorised official
- Name
- Jon Riewer
- Title
- President & Ceo
- Phone
- (218) 291-2201
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1619536976
- Entity type
- Organization
- NPI issued
- 11 Jun 2019
- Record last updated
- 11 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.