Provider Demographics
NPI:1023161783
Name:LOIS' HOUSE
Entity type:Organization
Organization Name:LOIS' HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:ZELETTA
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-234-9996
Mailing Address - Street 1:723 FLEMING ST NE
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-2624
Mailing Address - Country:US
Mailing Address - Phone:252-234-9996
Mailing Address - Fax:252-237-1413
Practice Address - Street 1:723 FLEMING ST NE
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-2624
Practice Address - Country:US
Practice Address - Phone:252-234-9996
Practice Address - Fax:252-237-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409115Medicaid
NC8300593Medicaid