Provider Demographics
NPI:1083961965
Name:LECHRIS ADULT DAY CARE OF ROCKY MOUNT, INC.
Entity Type:Organization
Organization Name:LECHRIS ADULT DAY CARE OF ROCKY MOUNT, INC.
Other - Org Name:LECHRIS BEHAVIORAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:252-636-6105
Mailing Address - Street 1:1822 S GLENBURNIE RD
Mailing Address - Street 2:STE.352
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-5261
Mailing Address - Country:US
Mailing Address - Phone:252-636-6105
Mailing Address - Fax:
Practice Address - Street 1:308 S TILLERY ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-5870
Practice Address - Country:US
Practice Address - Phone:252-977-3085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCPENDINGMedicaid