# LUTHERAN SOCIAL SERVICES OF NE FL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538108451
- **Authorized official:** MR. RICHARD JOSEPH MOCHOWSKI (CONTROLLER)
- **Authorized official phone:** (904) 730-8224

## Contact information

- **Practice address:** 4615 PHILIPS HIGHWAY, JACKSONVILLE, FL 32207-7265
- **Practice address phone:** (904) 448-5995
- **Practice address fax:** (904) 730-8296
- **Mailing address:** 4615 PHILIPS HIGHWAY, JACKSONVILLE, FL 32207-7265
- **Mailing address phone:** (904) 448-5995
- **Mailing address fax:** (904) 730-8296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 03/03/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 029597302 | — | FL |