Individual
MARILYN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4716 THOROUGHBRED DR, N CHARLESTON, SC 29420-7581
(973) 462-2510
Mailing address
PO BOX 50844, SUMMERVILLE, SC 29485-0844
(973) 462-2510
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
26NH12675200
NJ
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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