Provider Demographics
NPI:1245945625
Name:LAFAYETTE WORK CENTER, INC.
Entity type:Organization
Organization Name:LAFAYETTE WORK CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREGOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-227-5666
Mailing Address - Street 1:179 GAYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63021-5421
Mailing Address - Country:US
Mailing Address - Phone:636-227-5666
Mailing Address - Fax:636-227-9650
Practice Address - Street 1:179 GAYWOOD DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63021-5421
Practice Address - Country:US
Practice Address - Phone:636-227-5666
Practice Address - Fax:636-227-9650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services