Provider Demographics
NPI:1790838670
Name:LAURY HOMES RESIDENTIAL SERVICES, INC.
Entity type:Organization
Organization Name:LAURY HOMES RESIDENTIAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BLANCHE
Authorized Official - Middle Name:FOSTER
Authorized Official - Last Name:LAURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-546-3449
Mailing Address - Street 1:1025 DANDRIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501
Mailing Address - Country:US
Mailing Address - Phone:434-385-4181
Mailing Address - Fax:434-385-5900
Practice Address - Street 1:1025 DANDRIDGE DRIVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501
Practice Address - Country:US
Practice Address - Phone:434-385-4181
Practice Address - Fax:434-385-5900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities