Organization
DIAKON LUTHERAN SOCIAL MINISTRIES DBA FAMILY LIFE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M BARGER CPA (EXECUTIVE VP AND CFO)
(717) 795-0395
Entity
Organization
Contact information
Practice address
571 MOUNTAIN RD, BOILING SPRINGS, PA 17007-9520
(717) 795-0330
Mailing address
960 CENTURY DR, MECHANICSBURG, PA 17055-4374
(717) 795-0330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
217056
PA
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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