Provider Demographics
NPI:1689974404
Name:LAWSON INC. HOME CARE SERVICES
Entity Type:Organization
Organization Name:LAWSON INC. HOME CARE SERVICES
Other - Org Name:LAWSON INC. HCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NETARI
Authorized Official - Middle Name:LADORAN
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-445-8641
Mailing Address - Street 1:1149 GREEN BLACKMON RD
Mailing Address - Street 2:
Mailing Address - City:KILGORE
Mailing Address - State:TX
Mailing Address - Zip Code:75662-0805
Mailing Address - Country:US
Mailing Address - Phone:903-445-8641
Mailing Address - Fax:
Practice Address - Street 1:1149 GREEN BLACKMON RD
Practice Address - Street 2:
Practice Address - City:KILGORE
Practice Address - State:TX
Practice Address - Zip Code:75662-0805
Practice Address - Country:US
Practice Address - Phone:903-445-8641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16521727320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities