Organization
DIAKON LUTHERAN SOCIAL MINISTRIES
Active
Organization
DIAKON LUTHERAN SOCIAL MINISTRIES
Active
Other names
Diakon Family Life Services
Organization subpart
No
Provider details
NPI number
Authorized official
RITA A. ROUSSEAU (EXECUTIVE DIRECTOR OF COS)
(717) 795-0368
Entity
Organization
Contact information
Practice address
CO NEW BLOOMFIELD ELEMENTARY SCHOOL, 300 WEST HIGH STREET, NEW BLOOMFIELD, PA 17068
(570) 795-0330
(570) 795-0407
Mailing address
435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
(570) 322-7873
(570) 322-8026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007777400042
—
PA
Enumeration date
12/28/2006
Last updated
10/24/2007
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