Organization
DIAKON LUTHERAN SOCIAL MINISTRIES
Active
Other names
Mountain Glade Adult Day Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN R MCHUGH (DIRECTOR, RESIDENT FINANCIAL SERV)
(717) 795-0309
Entity
Organization
Contact information
Practice address
375 PYTHIAN AVE, OAKLAND, MD 21550-5111
(301) 334-0585
Mailing address
960 CENTURY DR, MECHANICSBURG, PA 17055-4374
(717) 795-0309
(717) 795-0453
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
15908
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600003700
—
MD
Enumeration date
04/28/2006
Last updated
05/30/2008
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