1588760433 NPI number — LEE COUNTY GROUP HOME, INC.

Table of content: (NPI 1588760433)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588760433 NPI number — LEE COUNTY GROUP HOME, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEE COUNTY GROUP HOME, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588760433
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1373
Provider Second Line Business Mailing Address:
LEE # 2
Provider Business Mailing Address City Name:
SANFORD
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27331-1373
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-776-9189
Provider Business Mailing Address Fax Number:
919-774-7711

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2412 KNOLLWOOD DR
Provider Second Line Business Practice Location Address:
LEE # 2
Provider Business Practice Location Address City Name:
SANFORD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27330-7671
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-776-9189
Provider Business Practice Location Address Fax Number:
919-774-7711
Provider Enumeration Date:
09/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
AUTRY
Authorized Official First Name:
JUDIETH
Authorized Official Middle Name:
Authorized Official Title or Position:
GENERAL BOARD FINANCIAL
Authorized Official Telephone Number:
919-770-5484

Provider Taxonomy Codes

  • Taxonomy code: 320600000X , with the licence number:  MHL053041 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 780514 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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