Organization
LEE COUNTY GROUP HOME, INC.
Active
Other names
Lee #2
Organization subpart
No
Provider details
NPI number
Authorized official
JUDIETH AUTRY (GENERAL BOARD FINANCIAL)
(919) 770-5484
Entity
Organization
Contact information
Practice address
2412 KNOLLWOOD DR, LEE # 2, SANFORD, NC 27330-7671
(919) 776-9189
(919) 774-7711
Mailing address
PO BOX 1373, LEE # 2, SANFORD, NC 27331-1373
(919) 776-9189
(919) 774-7711
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL053041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
780514
—
NC
Enumeration date
09/16/2006
Last updated
03/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us