Laroy William Lackey is an adult companion in Portland, OR. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. Laroy William Lackey NPI is 1780982454. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
326 SE 76TH AVE
PORTLAND, OR
ZIP 97215-468
Phone: (503) 238-0769
Fax: (503) 552-6208
The enumeration date for this NPI number is 3/4/2011 and was last updated on 3/4/2011.