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LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN INC. NPI 1033284740


NPI Information

NPI: 1033284740
Provider Name: LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.

Doing Business As: LSS AFFINITY HOUSE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3042 KILBOURNE AVE
EAU CLAIRE, WI
ZIP 54703
Phone: (715) 833-0436
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LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. is a substance abuse rehabilitation facility in Eau Claire, WI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. NPI is 1033284740. The provider is registered as an organization entity type.
The provider Is Doing Business As Lss Affinity House.

The provider's business location address is:

3042 KILBOURNE AVE
EAU CLAIRE, WI
ZIP 54703-943
Phone: (715) 833-0436

The provider's authorized official is Michael Harold Guns .
The authorized official title is Vice President Finance, Cfo and has the following contact phone number (414) 325-3010.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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