Lawson Support Services, LLC

Organization Active NPI Developmentally Disabled Services Day Training Agency · Sparta, NC

NPI 1740319946 · NPPES record last updated Dec 5, 2008

Key facts

NPI
1740319946
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
License
HC2999 (NC)
Legal business name
LAWSON SUPPORT SERVICES, LLC
Practice address
393 N Main St
Sparta, NC 28675-8896
Phone
(336) 372-6083
Fax
(336) 372-6087
NPI assigned
Mar 5, 2007
Organization subpart
No

Authorized official

Name
Alicia A Lawson, QP
Title
Program Administrator
Phone
(336) 372-6083

Corporate family (same tax ID) 20

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lawson Support Services (21 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X HC2999 NC Yes

Addresses

Primary practice location

393 N Main St
Sparta, NC 28675-8896

Mailing address

PO Box 189
Sparta, NC 28675-0189
Phone (336) 372-6083

Other identifiers

IdentifierTypeStateIssuer
3409456MedicaidNC

Other providers in Sparta, NC

All providers in Sparta, NC · Developmentally Disabled Services Day Training Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.