Organization
LEE COUNTY GROUP HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY BENNETT (DIRECTOR)
(919) 770-5660
Entity
Organization
Contact information
Practice address
3101 CARBONTON RD, SANFORD, NC 27330
(919) 774-6647
Mailing address
PO BOX 1373, SANFORD, NC 27331-1373
(919) 770-5660
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
053-041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802131
—
NC
Enumeration date
02/02/2012
Last updated
02/02/2012
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