Provider Demographics
NPI:1396588844
Name:LUTHERAN SOCIAL SERVICES OF SOUTH DAKOTA
Entity type:Organization
Organization Name:LUTHERAN SOCIAL SERVICES OF SOUTH DAKOTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STACI
Authorized Official - Middle Name:DANELLE
Authorized Official - Last Name:JONSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-389-8468
Mailing Address - Street 1:705 E 41ST ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6047
Mailing Address - Country:US
Mailing Address - Phone:605-444-7500
Mailing Address - Fax:605-444-7690
Practice Address - Street 1:705 E 41ST ST STE 100
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6047
Practice Address - Country:US
Practice Address - Phone:605-444-7500
Practice Address - Fax:605-444-7690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty