Organization
J. LEE C. HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET LEE COBB NHA, ALA, RN (MANAGER)
(252) 312-5802
Entity
Organization
Contact information
Practice address
401 DILLARD'S MILL RD, TYNER, NC 27980
(252) 221-8113
Mailing address
347 DILLARD'S MILL ROAD, TYNER, NC 27980
(252) 312-5802
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-021004
NC
311ZA0620X
Adult Care Home Facility
FCL-072007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804255
—
NC
05
—
7804674
—
NC
Enumeration date
02/28/2007
Last updated
08/22/2020
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