Provider Demographics
NPI:1881322659
Name:LASSEN FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:LASSEN FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORMACHEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-257-5466
Mailing Address - Street 1:PO BOX 710
Mailing Address - Street 2:
Mailing Address - City:SUSANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:96130-0710
Mailing Address - Country:US
Mailing Address - Phone:530-257-5466
Mailing Address - Fax:530-257-5490
Practice Address - Street 1:1306 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:SUSANVILLE
Practice Address - State:CA
Practice Address - Zip Code:96130-4432
Practice Address - Country:US
Practice Address - Phone:530-257-4599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable