Provider Demographics
NPI:1467159277
Name:LEAN ON CARE INC
Entity Type:Organization
Organization Name:LEAN ON CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:AWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-952-7534
Mailing Address - Street 1:158 FRONT ROYAL PIKE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-4346
Mailing Address - Country:US
Mailing Address - Phone:410-952-7534
Mailing Address - Fax:
Practice Address - Street 1:158 FRONT ROYAL PIKE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-4346
Practice Address - Country:US
Practice Address - Phone:410-952-7534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4174OtherDBHDS VIRGINIA