# LEE COUNTY GROUP HOME, INC.

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

## Provider details

- **NPI number:** 1588760433
- **Authorized official:** JUDIETH AUTRY (GENERAL BOARD FINANCIAL)
- **Authorized official phone:** (919) 770-5484

## Contact information

- **Practice address:** 2412 KNOLLWOOD DR, LEE \# 2, SANFORD, NC 27330-7671
- **Practice address phone:** (919) 776-9189
- **Practice address fax:** (919) 774-7711
- **Mailing address:** PO BOX 1373, LEE \# 2, 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 | MHL053041 | NC | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 03/21/2025