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Organization
SP LEE LLC
Active
Organization
SP LEE LLC
Active
Other names
Lee Health & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ANTHONY ALESANTRINO (CHIEF FINANCIAL OFFICER)
(540) 725-8910
Entity
Organization
Contact information
Practice address
208 HEALTH CARE DR, PENNINGTON GAP, VA 24277-2854
(276) 546-4566
(276) 546-6818
Mailing address
5372 FALLOWATER LN, SUITE 200, ROANOKE, VA 24018-0907
(540) 725-8910
(540) 725-8914
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2746
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004953525
—
VA
01
—
144883
MEDIGAP # MEDICARE B
—
01
—
198187
ANTHEM/BLUE CROSS
VA
Enumeration date
03/14/2006
Last updated
01/13/2021
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