Organization
LUTHERAN FAMILY SERVICES OF VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FREIDA M. KING BS (CONTROLLER)
(540) 562-8473
Entity
Organization
Contact information
Practice address
190 MUSTANG LN, MIDDLETOWN, VA 22645-1722
(540) 450-2782
(540) 450-2783
Mailing address
2609 MCVITTY RD, ROANOKE, VA 24018-3513
(540) 562-8473
(540) 774-1084
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
272-02-029
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272-02-029
—
VA
Enumeration date
08/14/2014
Last updated
08/14/2014
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