Organization

Living Services Foundation/ New London Llc

May also be knows as Lake Region Home Health

Assisted Living Facility in New London, MN(View on Map)

Legal Business Name

Living Services Foundation/ New London Llc

Also Known As

Lake Region Home Health

NPI Number

1033321351

NPI Type

Organization

Enumeration Date

05/07/2007

Specialties

(Taxonomies)

Code

310400000X
251E00000X

Primary Taxonomy

Yes
No

Licenses

State

Minnesota
Minnesota

License Number

345647
HFID - 02204

Contact
Information

Purpose

Mailing
Location

Address

100 GLEN OAKS DR
102 GLEN OAKS DR

City

New London
New London

State

MN
MN

Postal Code

56273
56273

Country

US
US

Telephone Number

(320) 354-6068
(320) 354-5858

Authorized Official

Name

Mr. James Laine

Title or Position

ADMINISTRATOR

Telephone Number

(320) 354-6057

Identifiers

Identifier

498454400

Identifier State

MN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/30/2010

Provider Address

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