Provider Demographics
NPI:1558828889
Name:L A ADULT COMPANION SERVICES LLC
Entity Type:Organization
Organization Name:L A ADULT COMPANION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-936-0204
Mailing Address - Street 1:4614 WILGROVE MINT HILL RD STE C1
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-3547
Mailing Address - Country:US
Mailing Address - Phone:704-900-7558
Mailing Address - Fax:704-919-5065
Practice Address - Street 1:4614 WILGROVE MINT HILL RD STE C1
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-3547
Practice Address - Country:US
Practice Address - Phone:704-900-7558
Practice Address - Fax:704-919-5065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care