Provider Demographics
NPI:1861730277
Name:LAIR FAMILY VENTURES LLC
Entity type:Organization
Organization Name:LAIR FAMILY VENTURES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FRANCHISE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-933-3300
Mailing Address - Street 1:1289 FORDHAM BLVD
Mailing Address - Street 2:SUITE E5
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-6110
Mailing Address - Country:US
Mailing Address - Phone:919-933-3300
Mailing Address - Fax:919-933-3324
Practice Address - Street 1:1289 FORDHAM BLVD
Practice Address - Street 2:SUITE E5
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-6110
Practice Address - Country:US
Practice Address - Phone:919-933-3300
Practice Address - Fax:919-933-3324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4226253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care