Provider Demographics
NPI:1679737498
Name:THE LAWAND INC.
Entity Type:Organization
Organization Name:THE LAWAND INC.
Other - Org Name:ROOSEVELT PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAWAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-655-2588
Mailing Address - Street 1:2524 WHITE HOUSE PKWY
Mailing Address - Street 2:PO BOX 39
Mailing Address - City:WARM SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:31830-2057
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:706-655-2718
Practice Address - Street 1:2524 WHITE HOUSE PKWY
Practice Address - Street 2:
Practice Address - City:WARM SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:31830-2057
Practice Address - Country:US
Practice Address - Phone:706-655-2588
Practice Address - Fax:706-655-2718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA099030011310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility