Organization
LAWSONS FAMILY CARE 3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEA O GWYNN (OWNER ADMINISTRATOR)
(336) 349-3610
Entity
Organization
Contact information
Practice address
5860 HIGHWAY BUSINESS 29, REIDSVILLE, NC 27323
(336) 342-3968
Mailing address
5860 HIGHWAY BUSINESS 29, P.O. BOX 2361, REIDSVILLE, NC 27323
(336) 342-3968
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-079-012
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7805469
EDS NUMBER
NC
Enumeration date
09/01/2006
Last updated
08/22/2020
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