Organization
DIAKON LUTHERAN SOCIAL MINISTRIES
Active
Organization
DIAKON LUTHERAN SOCIAL MINISTRIES
Active
Other names
Diakon Family Life Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA ROUSSEAU (EXECUTIVE DIRECTOR)
(570) 322-7873
Entity
Organization
Contact information
Practice address
960 CENTURY DR, MECHANICSBURG, PA 17055-4374
(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
—
1007777400005
—
PA
Enumeration date
05/18/2007
Last updated
11/08/2007
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