Provider Demographics
NPI:1073715801
Name:ROBERT E LEE INVESTORS, LLC
Entity Type:Organization
Organization Name:ROBERT E LEE INVESTORS, LLC
Other - Org Name:LANDMARK NURSING AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TRUSTEE
Authorized Official - Prefix:
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-945-9517
Mailing Address - Street 1:201 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-3428
Mailing Address - Country:US
Mailing Address - Phone:812-945-9517
Mailing Address - Fax:812-981-3303
Practice Address - Street 1:201 E ELM ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-3428
Practice Address - Country:US
Practice Address - Phone:812-945-9517
Practice Address - Fax:812-981-3303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility