# LWM SERVICE FACILITATOR

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LWM BUSINESS SERVICE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720392970
- **Legal business name:** LWM BUSINESS SERVICE
- **Authorized official:** MS. LATAWNYA C NEWSOM (OWNER/CASE MANAGER)
- **Authorized official phone:** (804) 591-5792

## Contact information

- **Practice address:** 300 CEDARWOOD RD, HENRICO, VA 23075-2438
- **Practice address phone:** (804) 591-5792
- **Mailing address:** PO BOX 854, SANDSTON, VA 23150-0854
- **Mailing address phone:** (804) 591-5792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2010
- **Last updated:** 07/29/2010