Provider Demographics
NPI:1427239607
Name:LAWSONS FAMILY CARE #3
Entity type:Organization
Organization Name:LAWSONS FAMILY CARE #3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINASTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-349-3610
Mailing Address - Street 1:5872 US 29 BUS
Mailing Address - Street 2:PO BOX 2361
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-8973
Mailing Address - Country:US
Mailing Address - Phone:336-349-3610
Mailing Address - Fax:336-349-4531
Practice Address - Street 1:5872 US 29 BUS
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-8973
Practice Address - Country:US
Practice Address - Phone:336-349-3610
Practice Address - Fax:336-349-4531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility