Organization
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRBY NICKERSON (CFO)
(704) 637-2870
Entity
Organization
Contact information
Practice address
1925 MARION ST, COLUMBIA, SC 29201-2517
(803) 708-5348
(803) 708-5381
Mailing address
PO BOX 2369, SALISBURY, NC 28145-2369
(704) 637-2870
(704) 900-0766
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918MXH
—
SC
Enumeration date
02/02/2007
Last updated
02/03/2022
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