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Organization
J. LEE C. HEALTHCARE, INC.
Active
Organization
J. LEE C. HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET LEE COBB NHA, ALA, RN (MANAGER)
(252) 312-5802
Entity
Organization
Contact information
Practice address
401 DILLARD'S MILL RD, TYNER, NC 27980
(252) 221-8113
Mailing address
347 DILLARD'S MILL ROAD, TYNER, NC 27980
(252) 312-5802
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-021004
NC
311ZA0620X
Adult Care Home Facility
FCL-072007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804255
—
NC
05
—
7804674
—
NC
Enumeration date
02/28/2007
Last updated
08/22/2020
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