Provider Demographics
NPI:1700594595
Name:L&G HOME HEALTH CARE AGENCY
Entity Type:Organization
Organization Name:L&G HOME HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEKITA
Authorized Official - Middle Name:YOLANDA
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:PCA
Authorized Official - Phone:757-381-2675
Mailing Address - Street 1:7035 SEWELLS POINT RD
Mailing Address - Street 2:E
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-1826
Mailing Address - Country:US
Mailing Address - Phone:757-973-1593
Mailing Address - Fax:757-973-1972
Practice Address - Street 1:7035 SEWELLS POINT RD
Practice Address - Street 2:E
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-1826
Practice Address - Country:US
Practice Address - Phone:757-973-1593
Practice Address - Fax:757-973-1972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty