Organization
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT MURRAY (AR AND CONTRACTS MANAGER)
(919) 861-2850
Entity
Organization
Contact information
Practice address
1007 N PEACE HAVEN RD, WINSTON SALEM, NC 27104-1317
(336) 659-1247
Mailing address
PO BOX 12287, RALEIGH, NC 27605-2287
(919) 832-2620
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
MHL-034-139
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301053
—
NC
05
—
8301053B
—
NC
Enumeration date
01/26/2007
Last updated
08/22/2020
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