Organization
SPIRITRUST LUTHERAN LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NINA DELGRANDE (VP COMMUNITY HEALTH SERVICES)
(717) 264-8178
Entity
Organization
Contact information
Practice address
1920 GOOD HOPE ROAD, ENOLA, PA 17025
(717) 728-5433
(717) 901-0186
Mailing address
840 FIFTH AVENUE, CHAMBERSBURG, PA 17201
(717) 264-5433
(717) 264-3279
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
1740467570
PA
251T00000X
PACE Provider Organization
Primary
23713601
PA
Other
Enumeration date
01/23/2008
Last updated
07/10/2018
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