Provider Demographics
NPI:1770743510
Name:LUTHERAN SENIOR SERVICES
Entity type:Organization
Organization Name:LUTHERAN SENIOR SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLF
Authorized Official - Middle Name:F
Authorized Official - Last Name:ERIKSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-654-4491
Mailing Address - Street 1:1420 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-3178
Mailing Address - Country:US
Mailing Address - Phone:302-654-4491
Mailing Address - Fax:302-652-0654
Practice Address - Street 1:1420 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-3178
Practice Address - Country:US
Practice Address - Phone:302-654-4491
Practice Address - Fax:302-652-0654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2125310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility