Provider Demographics
NPI:1255488086
Name:LECHRIS ADULT DAY CARE, INC.
Entity Type:Organization
Organization Name:LECHRIS ADULT DAY CARE, INC.
Other - Org Name:LECHRIS BEHAVIORAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:HAWKINS
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:252-636-6105
Mailing Address - Street 1:130 JONES RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2349
Mailing Address - Country:US
Mailing Address - Phone:252-451-1333
Mailing Address - Fax:252-451-1558
Practice Address - Street 1:2707 WOOTEN BLVD SW
Practice Address - Street 2:STE.A
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-4483
Practice Address - Country:US
Practice Address - Phone:252-243-2339
Practice Address - Fax:252-243-2394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300274BMedicaid
NC8300274Medicaid
NC8300274GMedicaid
NC8300274HMedicaid