Lutheran Family Services Of Virginia, Inc. | |
190 Mustang Ln Middletown VA 22645-1722 | |
(540) 450-2782 | |
(540) 450-2783 |
Full Name | Lutheran Family Services Of Virginia, Inc. |
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Speciality | Community/behavioral Health |
Location | 190 Mustang Ln, Middletown, Virginia |
Authorized Official Name and Position | Freida M. King (CONTROLLER) |
Authorized Official Contact | 5405628473 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lutheran Family Services Of Virginia, Inc. 2609 Mcvitty Rd Roanoke VA 24018-3513 Ph: (540) 562-8473 | Lutheran Family Services Of Virginia, Inc. 190 Mustang Ln Middletown VA 22645-1722 Ph: (540) 450-2782 |
NPI Number | 1386043594 |
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Provider Enumeration Date | 08/14/2014 |
Last Update Date | 08/14/2014 |
Identifier | Type | State | Issuer |
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1386043594 | NPI | - | NPPES |
272-02-029 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 272-02-029 (Virginia) | Primary |