Organization
LEE QUALITY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN X LEE (GENERAL MANAGER)
(608) 519-3124
Entity
Organization
Contact information
Practice address
1513 GEORGE ST, LA CROSSE, WI 54603-2285
(608) 519-3124
Mailing address
1511 GEORGE STREET, LA CROSSE, WI 54603
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016217
—
WI
Enumeration date
08/24/2011
Last updated
08/24/2011
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