Organization Name: | LEWIS & LEIGH INC |
NPI Number: | 1508119173 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACK STCLAIR (PRESIDENT) |
Mailing Address: | 9817 Godwin Dr Ste 202 Manassas |
State: | VA US |
Postal Code: | 201104156 |
Phone Number: | 7035301360 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2012 |
NPI Last Update Date: | 12/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HCO13539 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |