Diakon Lutheran Social Ministries
Organization Active NPI Community/Behavioral Health Agency · New Bloomfield, PA
NPI 1083770838 · NPPES record last updated Oct 24, 2007
Key facts
- NPI
- 1083770838
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- DIAKON LUTHERAN SOCIAL MINISTRIES
- Practice address
- Co New Bloomfield Elementary School
300 West High Street
New Bloomfield, PA 17068 - Phone
- (570) 795-0330
- Fax
- (570) 795-0407
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Rita A. Rousseau
- Title
- Executive Director of Cos
- Phone
- (717) 795-0368
Corporate family (same tax ID) 25
National Provider Directory
- Tax ID family
- Buffalo Vly Nursing HM
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
Co New Bloomfield Elementary School
300 West High Street
New Bloomfield, PA 17068
Mailing address
435 W 4TH St
Williamsport, PA 17701-6001
Phone (570) 322-7873
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007777400042 | Medicaid | PA |
Other names
- Diakon Family Life Services
Other providers in New Bloomfield, PA
- Carissa Deanne Daigle
- Amara Dell
- Diakon Child Family & Community Ministries
- Diakon Child, Family & Community
- Diakon Child, Family & Community Ministries
- Diakon Lutheran Social Ministries
- Fresh Start Counseling Center, LLC
- Lauren Elizabeth Greene
- Julie Hall
- Heaven Care Services LLC
All providers in New Bloomfield, PA · Community/Behavioral Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.