# LEE COUNTY GROUP HOMES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lee \# 1 and Lee \# 2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407952344
- **Authorized official:** CELIA C COUSINS QPBS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 776-9189

## Contact information

- **Practice address:** 3101 CARBONTON RD, LEE \# 1, SANFORD, NC 27330-8214
- **Practice address phone:** (919) 776-9189
- **Practice address fax:** (919) 774-7711
- **Mailing address:** PO BOX 1373, SANFORD, NC 27331-1373
- **Mailing address phone:** (919) 776-9189
- **Mailing address fax:** (919) 774-7711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL 053039 | NC | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 08/22/2020