Provider Demographics
NPI:1164411070
Name:LEMICO INC
Entity Type:Organization
Organization Name:LEMICO INC
Other - Org Name:ALTERNATIVE CONCEPT CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSA
Authorized Official - Phone:318-640-7422
Mailing Address - Street 1:4811 MONROE HWY
Mailing Address - Street 2:
Mailing Address - City:BALL
Mailing Address - State:LA
Mailing Address - Zip Code:71405-3945
Mailing Address - Country:US
Mailing Address - Phone:318-640-7422
Mailing Address - Fax:318-640-7472
Practice Address - Street 1:4811 MONROE HWY
Practice Address - Street 2:
Practice Address - City:BALL
Practice Address - State:LA
Practice Address - Zip Code:71405-3945
Practice Address - Country:US
Practice Address - Phone:318-640-7422
Practice Address - Fax:318-640-7472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11274310400000X
LA11272311ZA0620X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Not Answered3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty