Organization
LEE RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN MARIE LEE RN (ADMINISTRATOR/OWNER)
(207) 862-2643
Entity
Organization
Contact information
Practice address
76 LASKEY LN, HAMPDEN, ME 04444-1633
(207) 862-2643
(207) 862-2643
Mailing address
76 LASKEY LN, HAMPDEN, ME 04444-1633
(207) 862-2643
(207) 862-2643
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432851300
—
ME
Enumeration date
01/29/2009
Last updated
01/29/2009
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