Provider Demographics
NPI:1184406027
Name:I AM MRS. LASHONDA WOFFORD, LLC
Entity type:Organization
Organization Name:I AM MRS. LASHONDA WOFFORD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DR. LASHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-568-5319
Mailing Address - Street 1:5405 QUARTER POLE LN
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-8355
Mailing Address - Country:US
Mailing Address - Phone:910-568-5319
Mailing Address - Fax:
Practice Address - Street 1:1919 BOULEVARD ST STE A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-4595
Practice Address - Country:US
Practice Address - Phone:910-633-5521
Practice Address - Fax:910-491-9719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty