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 COS)
(717) 795-0368
Entity
Organization
Contact information
Practice address
CO NEW BLOOMFIELD BOROUGH BUILDING, 25 EAST MCCLURE STREET, NEW BLOOMFIELD, PA 17068
(717) 795-0330
(717) 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
11/08/2007
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