Provider Demographics
NPI:1124373840
Name:LEE JIN COMPANY, INC.
Entity Type:Organization
Organization Name:LEE JIN COMPANY, INC.
Other - Org Name:INTERNATIONAL HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JONATHAN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-935-9105
Mailing Address - Street 1:2828 FOREST LN
Mailing Address - Street 2:SUITE 2120
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7518
Mailing Address - Country:US
Mailing Address - Phone:214-935-9105
Mailing Address - Fax:
Practice Address - Street 1:2828 FOREST LN
Practice Address - Street 2:SUITE 2120
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7518
Practice Address - Country:US
Practice Address - Phone:214-935-9105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health