Organization
LUTHERAN SOCIAL SERVICES OF NE FL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD JOSEPH MOCHOWSKI (CONTROLLER)
(904) 730-8224
Entity
Organization
Contact information
Practice address
4615 PHILIPS HIGHWAY, JACKSONVILLE, FL 32207-7265
(904) 448-5995
(904) 730-8296
Mailing address
4615 PHILIPS HIGHWAY, JACKSONVILLE, FL 32207-7265
(904) 448-5995
(904) 730-8296
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029597302
—
FL
Enumeration date
06/06/2006
Last updated
03/03/2016
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