| Lutheran Family Services Of Virginia, Inc. | |
|
2609 Mcvitty Rd Roanoke VA 24018-3513 | |
| (540) 774-7100 | |
| (540) 774-1084 |
| Full Name | Lutheran Family Services Of Virginia, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2609 Mcvitty Rd, Roanoke, Virginia |
| Authorized Official Name and Position | Freida King (CONTROLLER) |
| Authorized Official Contact | 5405628473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Family Services Of Virginia, Inc. 2609 Mcvitty Rd Roanoke VA 24018-3513 Ph: (540) 774-7100 | Lutheran Family Services Of Virginia, Inc. 2609 Mcvitty Rd Roanoke VA 24018-3513 Ph: (540) 774-7100 |
| NPI Number | 1326410382 |
|---|---|
| Provider Enumeration Date | 10/29/2015 |
| Last Update Date | 10/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326410382 | NPI | - | NPPES |
| 272 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 272-02-029 (Virginia) | Primary |
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