# J. LEE C. HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992833321
- **Authorized official:** MS. JANET LEE COBB NHA, ALA, RN (MANAGER)
- **Authorized official phone:** (252) 312-5802

## Contact information

- **Practice address:** 401 DILLARD'S MILL RD, TYNER, NC 27980
- **Practice address phone:** (252) 221-8113
- **Mailing address:** 347 DILLARD'S MILL ROAD, TYNER, NC 27980
- **Mailing address phone:** (252) 312-5802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-021004 | NC | Yes |
| 311ZA0620X | Adult Care Home Facility | FCL-072007 | NC | — |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7804255 | — | NC |
| 05 | — | 7804674 | — | NC |