Provider Demographics
NPI:1538465422
Name:J LEE SALES LLC
Entity Type:Organization
Organization Name:J LEE SALES LLC
Other - Org Name:HOME HELPERS DIRECT LINK ISSAQUAH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEE
Authorized Official - Suffix:JR
Authorized Official - Credentials:JD
Authorized Official - Phone:425-281-1250
Mailing Address - Street 1:1420 NW GILMAN BLVD
Mailing Address - Street 2:SUITE 2 #2185
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027
Mailing Address - Country:US
Mailing Address - Phone:425-996-3430
Mailing Address - Fax:425-996-9557
Practice Address - Street 1:142 COUGAR RIDGE RD NW
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5666
Practice Address - Country:US
Practice Address - Phone:425-996-8629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-10
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.60073006253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care