Healthcare Provider Details

I. General information

NPI: 1366472193
Provider Name (Legal Business Name): LAMBERSON'S HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3071 PEACHTREE INDUSTRIAL BLVD SUITE 100
DULUTH GA
30097-8641
US

IV. Provider business mailing address

3071 PEACHTREE INDUSTRIAL BLVD SUITE 100
DULUTH GA
30097-8641
US

V. Phone/Fax

Practice location:
  • Phone: 770-497-8299
  • Fax: 770-497-8185
Mailing address:
  • Phone: 770-497-8299
  • Fax: 770-497-8185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberK426988
License Number StateGA

VIII. Authorized Official

Name: MR. WILLIAM VERNON LAMBERSON
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 770-497-8299