Provider Demographics
NPI:1508416975
Name:L & M HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:L & M HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LANITA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-448-5041
Mailing Address - Street 1:724 SOHO ST
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1969
Mailing Address - Country:US
Mailing Address - Phone:803-448-5041
Mailing Address - Fax:757-827-8210
Practice Address - Street 1:724 SOHO ST
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-1969
Practice Address - Country:US
Practice Address - Phone:803-448-5041
Practice Address - Fax:757-827-8210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-202213Medicaid