Provider Demographics
NPI:1003101312
Name:LEXINGTON FAMILY SERVICES, INC
Entity Type:Organization
Organization Name:LEXINGTON FAMILY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER-SLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-556-9992
Mailing Address - Street 1:31224 MULFORDTON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1408
Mailing Address - Country:US
Mailing Address - Phone:888-556-9992
Mailing Address - Fax:
Practice Address - Street 1:31224 MULFORDTON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1408
Practice Address - Country:US
Practice Address - Phone:888-556-9992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health