Lane'S House Adult Group Home

LBN: Lane'S House Adult Group Home
Lane'S House Adult Group Home is an health care organization with primary practice located at 3159 Octavia Dr , Rocky Mount NC 27804-7959. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Lane'S House Adult Group Home can be contacted via phone (252) 903-4660, or through Lane, Lillie B via phone (252) 903-4660.

Contact Information

Primary practice address
3159 Octavia Dr Rocky Mount NC 27804-7959
Phone: (252) 903-4660
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lane, Lillie B
Phone: (252) 903-4660

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X MHL-064-126 North Carolina

Profile Details

NPI number 1306123294
LBN Legal business name Lane'S House Adult Group Home
DBA Doing business as
Authorized official Lane, Lillie B
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2011
Last updated Dec 8th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306123294 NPPES
North Carolina Other MHL-064-126 MENTAL HEALTH LICENSE NUMBER

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