Provider Demographics
NPI:1184994600
Name:LANE'S HEALTH CARE
Entity type:Organization
Organization Name:LANE'S HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LANE
Authorized Official - Last Name:COBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-469-5720
Mailing Address - Street 1:301 S CHURCH ST STE 141
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-5750
Mailing Address - Country:US
Mailing Address - Phone:252-977-2273
Mailing Address - Fax:252-977-2274
Practice Address - Street 1:301 S CHURCH ST STE 141
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-5750
Practice Address - Country:US
Practice Address - Phone:252-977-2273
Practice Address - Fax:252-977-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-02
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care