Provider Demographics
NPI:1275790933
Name:L & C NURSING SERVICES, INC. PRIVATE DUTY
Entity Type:Organization
Organization Name:L & C NURSING SERVICES, INC. PRIVATE DUTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOLA
Authorized Official - Middle Name:B
Authorized Official - Last Name:RUNNELS
Authorized Official - Suffix:
Authorized Official - Credentials:R N
Authorized Official - Phone:936-569-9353
Mailing Address - Street 1:818 N UNIVERSITY DR STE 203
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75961-4681
Mailing Address - Country:US
Mailing Address - Phone:936-569-9353
Mailing Address - Fax:936-569-8250
Practice Address - Street 1:818 N UNIVERSITY DR STE 203
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-4681
Practice Address - Country:US
Practice Address - Phone:936-569-9353
Practice Address - Fax:936-569-8250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX003857251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health