Provider Demographics
NPI:1336476365
Name:COUNTY OF LEE NORTH CAROLINA
Entity Type:Organization
Organization Name:COUNTY OF LEE NORTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT SERVICES SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:BLEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-718-4690
Mailing Address - Street 1:PO BOX 1066
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27331-1066
Mailing Address - Country:US
Mailing Address - Phone:919-718-4690
Mailing Address - Fax:919-718-4634
Practice Address - Street 1:530 CARTHAGE ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4105
Practice Address - Country:US
Practice Address - Phone:919-718-4690
Practice Address - Fax:919-718-4634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408065Medicaid