Provider Demographics
NPI:1558969659
Name:L&S HEALTHCARE
Entity Type:Organization
Organization Name:L&S HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS-NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-680-9894
Mailing Address - Street 1:703 PRESTON LANDING CIR
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-6857
Mailing Address - Country:US
Mailing Address - Phone:404-680-9894
Mailing Address - Fax:
Practice Address - Street 1:703 PRESTON LANDING CIR
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-6857
Practice Address - Country:US
Practice Address - Phone:404-680-9894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health