Provider Demographics
NPI:1124468392
Name:LRD MANAGEMENT INC.
Entity type:Organization
Organization Name:LRD MANAGEMENT INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LEISA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:MONK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-951-0025
Mailing Address - Street 1:2 PLAYERS CLUB DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25311-1640
Mailing Address - Country:US
Mailing Address - Phone:304-951-0025
Mailing Address - Fax:
Practice Address - Street 1:2 PLAYERS CLUB DR
Practice Address - Street 2:SUITE 103
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25311-1640
Practice Address - Country:US
Practice Address - Phone:304-951-0025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care