Individual
MR. LEE OTIS BARNETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 ROUGH LN, LOUISBURG, NC 27549-6897
(919) 279-3999
(919) 758-8087
Mailing address
140 ROUGH LN, LOUISBURG, NC 27549-6897
(919) 279-3999
(919) 758-8087
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
9940284
NC
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
9940284
NC
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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