OrganizationActive
Lake Region Lutheran Home, Inc.
NPI 1619536976 · Assisted Living Facility · Devils Lake, ND
Provider details
- NPI number
- 1619536976
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Riewer, President & Ceo(218) 291-2201
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1332 10th St Ne
Devils Lake, ND 58301-2329
Phone: (701) 662-1880
Fax: (701) 662-1084
Approximate (ZIP-level) locationGet directions
Mailing address
801 Main Ave Ste 201
Moorhead, MN 56560-2871
Other names (DBA / former)
- Doing business as
- Eventide Lake Country Manor Basic Care
Registry dates
- Enumerated
- 2019-06-11
- Last updated
- 2019-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.