NPI 1265436653 · live from the CMS NPI Registry
Deloughery Home Limited Partnership
Skilled Nursing Facility in Lewiston, MN. National Provider Identifier 1265436653, active.
NPI record
| NPI | 1265436653 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 505 E Main St, Lewiston, MN 55952 |
| Practice phone | 507-523-2123 |
| Enumerated | June 13, 2005 |
| Last updated | August 22, 2020 |
| Authorized official | Bob Liebig, Partner |
| Other names | Lewiston Villa Nursing Home |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 328692 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.