Organization
EAST LEE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FREDRIKA MURRILL COOKE (OWNER)
(252) 347-8642
Entity
Organization
Contact information
Practice address
3001 STANTONSBURG RD, GREENVILLE, NC 27834-7276
(252) 347-8642
(252) 321-2740
Mailing address
3001 STANTONSBURG RD, GREENVILLE, NC 27834-7276
(252) 347-8642
(252) 321-2740
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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