Provider Demographics
NPI:1851577761
Name:LECHRIS ADULT DAY CARE, INC.
Entity Type:Organization
Organization Name:LECHRIS ADULT DAY CARE, INC.
Other - Org Name:LECHRIS BEHAVIORAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:252-636-6105
Mailing Address - Street 1:130 JONES RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2349
Mailing Address - Country:US
Mailing Address - Phone:252-451-1333
Mailing Address - Fax:252-451-1558
Practice Address - Street 1:130 JONES RD
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2349
Practice Address - Country:US
Practice Address - Phone:252-451-1333
Practice Address - Fax:252-451-1558
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LE CHRIS ADULT DAY CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-10
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409462Medicaid