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Organization

PRIME HOME HEALTH OF LEE COUNTY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA LEDBETTER (ADMINISTRATOR)
(334) 745-7966
Entity
Organization

Contact information

Practice address
2125 EXECUTIVE PARK DR, OPELIKA, AL 36801-6041
(334) 745-7966
(334) 745-2153
Mailing address
2125 EXECUTIVE PARK DR, OPELIKA, AL 36801-6041
(334) 745-7966
(334) 745-2153

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SOU714A
AL
Enumeration date
03/01/2017
Last updated
06/10/2020
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