| Organization Name: | LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST |
| NPI Number: | 1295045367 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES E. MONROE (PRESIDENT/CEO) |
| Mailing Address: | 1050 W Superstition Blvd Apache Junction |
| State: | AZ US |
| Postal Code: | 851204041 |
| Phone Number: | 4806713086 |
| Fax Number: | 4806713109 |
| NPI Enumeration Date: | 10/07/2010 |
| NPI Last Update Date: | 10/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | AL2663D |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |