Organization
LEES PERSONAL ASSISTED LIVING LLC
Active
Parent organization
YES
Other names
Lees Personal assisted Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
MS. JACOBIE JEAN DARDY N/A (OWNER/ADM.)
(706) 773-5792
Entity
Organization
Contact information
Practice address
105 S 6TH AVE, 105 SOUTH 6 AVENUE, LANETT, AL 36863-2415
(706) 773-5792
(334) 644-4441
Mailing address
105 S 6TH AVE, 105 SOUTH 6 AVENUE, LANETT, AL 36863-2415
(706) 773-5792
(334) 644-4441
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
259316257
AL
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
Update your record
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