Provider Demographics
NPI:1770737504
Name:LAUREN & LONDEN, INC.
Entity type:Organization
Organization Name:LAUREN & LONDEN, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:SPIGNER
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-551-1192
Mailing Address - Street 1:PO BOX 41133
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28309-1133
Mailing Address - Country:US
Mailing Address - Phone:910-551-1192
Mailing Address - Fax:
Practice Address - Street 1:610 MANN ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-6240
Practice Address - Country:US
Practice Address - Phone:910-551-1192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAUREN & LONDEN, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-026-053310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHAL-026-053OtherDIVISION OF HEALTH SERVICE REGULATIONS