| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 08/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386043594 | NPI | - | NPPES |
| 272-02-029 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 272-02-029 (Virginia) | Primary |