Provider Demographics
NPI:1578794616
Name:LSM ENTERPRIZES, INC.
Entity Type:Organization
Organization Name:LSM ENTERPRIZES, INC.
Other - Org Name:DISABILITY MANAGEMENT SERVICES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEDBETTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-884-5544
Mailing Address - Street 1:1309 CEDROW DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27260-3701
Mailing Address - Country:US
Mailing Address - Phone:336-884-5544
Mailing Address - Fax:336-884-5544
Practice Address - Street 1:1309 CEDROW DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-3701
Practice Address - Country:US
Practice Address - Phone:336-884-5544
Practice Address - Fax:336-884-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-041-921320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities