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Organization
LWM SERVICE FACILITATOR
Active
Organization
LWM SERVICE FACILITATOR
Active
Parent organization
LWM BUSINESS SERVICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LWM BUSINESS SERVICE
Authorized official
MS. LATAWNYA C NEWSOM (OWNER/CASE MANAGER)
(804) 591-5792
Entity
Organization
Contact information
Practice address
300 CEDARWOOD RD, HENRICO, VA 23075-2438
(804) 591-5792
Mailing address
PO BOX 854, SANDSTON, VA 23150-0854
(804) 591-5792
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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