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
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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