Organization
LAWSON SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA A LAWSON QP (PROGRAM ADMINISTRATOR)
(336) 372-6083
Entity
Organization
Contact information
Practice address
393 N MAIN ST, SPARTA, NC 28675-8896
(336) 372-6083
(336) 372-6087
Mailing address
PO BOX 189, SPARTA, NC 28675-0189
(336) 372-6083
(336) 372-6087
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
HC2999
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409456
—
NC
Enumeration date
03/05/2007
Last updated
12/05/2008
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