Organization
MARY LEE FOUNDATION
Active
Parent organization
MARY LEE FOUNDATION
Other names
Mary Lee Foundation Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY LEE FOUNDATION
Authorized official
CHARLENE CRUMP (DIRECTOR)
(512) 443-5777
Entity
Organization
Contact information
Practice address
1339 LAMAR SQUARE DR, AUSTIN, TX 78704
(512) 443-1360
(512) 443-1758
Mailing address
1328 LAMAR SQUARE DR., AUSTIN, TX 78704
(512) 443-1360
(512) 443-1758
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/01/2008
Last updated
02/25/2020
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