Organization
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRBY NICKERSON (CHIEF FINANCIAL OFFICER)
(704) 754-8228
Entity
Organization
Contact information
Practice address
3257 LAKE WOODARD DR, RALEIGH, NC 27604-3660
(919) 231-1399
Mailing address
PO BOX 2369, SALISBURY, NC 28145-2369
(704) 754-8232
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804472
—
NC
Enumeration date
01/26/2007
Last updated
07/21/2022
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