Provider Demographics
NPI:1902212244
Name:LBWC COMPANIONS AND SITTER SERVICES
Entity Type:Organization
Organization Name:LBWC COMPANIONS AND SITTER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHCP
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-297-3119
Mailing Address - Street 1:PO BOX 1873
Mailing Address - Street 2:3562 GRAY HIGHWAY
Mailing Address - City:GRAY
Mailing Address - State:GA
Mailing Address - Zip Code:31032
Mailing Address - Country:US
Mailing Address - Phone:478-297-3119
Mailing Address - Fax:
Practice Address - Street 1:3562 GRAY HIGHWAY
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:GA
Practice Address - Zip Code:31032
Practice Address - Country:US
Practice Address - Phone:478-297-3119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health