Organization
L& C HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY L LOTT (EXECUTIVE DIRECTOR)
(520) 414-7465
Entity
Organization
Contact information
Practice address
4902 N LAKESHORE DRIVE, SUITE1564, ARIZONA CITY, AZ 85123
(520) 414-7465
Mailing address
PO BOX 1564, ARIZONA CITY, AZ 85123-1317
(520) 414-7465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
AZ
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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