Provider Demographics
NPI:1699351858
Name:LAJEWELLS LOVING TOUCH, LLC
Entity Type:Organization
Organization Name:LAJEWELLS LOVING TOUCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:BS, QMHPA, QDDP
Authorized Official - Phone:276-340-9906
Mailing Address - Street 1:612 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-4022
Mailing Address - Country:US
Mailing Address - Phone:276-340-9906
Mailing Address - Fax:
Practice Address - Street 1:315 HOSPITAL DR STE 204A
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1927
Practice Address - Country:US
Practice Address - Phone:276-340-9906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care