Provider Demographics
NPI:1326422544
Name:UNITED WAY OF LEE COUNTY, INC.
Entity Type:Organization
Organization Name:UNITED WAY OF LEE COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:W
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-433-2000
Mailing Address - Street 1:7273 CONCOURSE DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-2604
Mailing Address - Country:US
Mailing Address - Phone:239-433-2000
Mailing Address - Fax:239-433-0217
Practice Address - Street 1:7273 CONCOURSE DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-2604
Practice Address - Country:US
Practice Address - Phone:239-433-2000
Practice Address - Fax:239-433-0217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health