Provider Demographics
NPI:1821856469
Name:STANLY HOME CARE AND LABS LLC
Entity Type:Organization
Organization Name:STANLY HOME CARE AND LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LASHAI
Authorized Official - Middle Name:R
Authorized Official - Last Name:AUSTIN-BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-213-4319
Mailing Address - Street 1:1716 US 52 N
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-8503
Mailing Address - Country:US
Mailing Address - Phone:336-213-4319
Mailing Address - Fax:
Practice Address - Street 1:1716 US 52 N
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-8503
Practice Address - Country:US
Practice Address - Phone:336-213-4319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health