# L& C HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255617874
- **Authorized official:** MR. ANTHONY L LOTT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (520) 414-7465

## Contact information

- **Practice address:** 4902 N LAKESHORE DRIVE, SUITE1564, ARIZONA CITY, AZ 85123
- **Practice address phone:** (520) 414-7465
- **Mailing address:** PO BOX 1564, ARIZONA CITY, AZ 85123-1317
- **Mailing address phone:** (520) 414-7465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | AZ | — |

## Other

- **Enumeration date:** 10/27/2011
- **Last updated:** 10/27/2011