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Organization
PRIME HOME HEALTH OF LEE COUNTY, LLC
Active
Organization
PRIME HOME HEALTH OF LEE COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LEDBETTER (ADMINISTRATOR)
(334) 745-7966
Entity
Organization
Contact information
Practice address
2125 EXECUTIVE PARK DR, OPELIKA, AL 36801-6041
(334) 745-7966
(334) 745-2153
Mailing address
2125 EXECUTIVE PARK DR, OPELIKA, AL 36801-6041
(334) 745-7966
(334) 745-2153
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SOU714A
—
AL
Enumeration date
03/01/2017
Last updated
06/10/2020
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