Organization
LEE'S DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDNA YOLANDA LEE RN MSN (OWNER)
(973) 761-0230
Entity
Organization
Contact information
Practice address
6 MAPLEWOOD AVE, MAPLEWOOD, NJ 07040-1220
(973) 761-5306
(973) 378-9525
Mailing address
50 W SOUTH ORANGE AVE, SOUTH ORANGE, NJ 07079-1730
(973) 761-5306
(973) 378-9525
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
26NO09927900
NJ
252Y00000X
Early Intervention Provider Agency
Primary
26NO09927900
NJ
302R00000X
Health Maintenance Organization
26NO09927900
NJ
310400000X
Assisted Living Facility
26NO09927900
NJ
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
26NO09927900
NJ
Other
Enumeration date
08/14/2013
Last updated
03/24/2015
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