Provider Demographics
NPI:1750853016
Name:LBSC, INC
Entity Type:Organization
Organization Name:LBSC, INC
Other - Org Name:CARING SENIOR SERVICE OF VICTORIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WAGSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-575-1117
Mailing Address - Street 1:103 E RED RIVER ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5236
Mailing Address - Country:US
Mailing Address - Phone:361-575-1117
Mailing Address - Fax:
Practice Address - Street 1:103 E RED RIVER ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5236
Practice Address - Country:US
Practice Address - Phone:361-575-1117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-27
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care