FD
FOND DU LAC LUTHERAN HOME, INC.
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
FOND DU LAC, WI
Licensed since
2005
Rate
—
Federal compliance record
Total fines$9,113
Payment denials / penalties1
Abuse flagNone on record
Federal identifiers
NPI registry number1649266404
CMS Certification Number (CCN)525655
Agency details
Avg residents / day50.9
OwnershipNon profit - Corporation
Chain affiliationILLUMINUS
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameJULIE MARKS
TitleCFO
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