Provider Demographics
NPI:1619527637
Name:LEAVE IT TO LESA CORP.
Entity Type:Organization
Organization Name:LEAVE IT TO LESA CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGLESBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-401-4424
Mailing Address - Street 1:7251 S SOUTH SHORE DR APT 21A
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-2781
Mailing Address - Country:US
Mailing Address - Phone:312-401-4424
Mailing Address - Fax:
Practice Address - Street 1:7251 S SOUTH SHORE DR APT 21A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-2781
Practice Address - Country:US
Practice Address - Phone:312-401-4424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health