Provider Demographics
NPI:1821796442
Name:LEE HOME CARE LLC
Entity Type:Organization
Organization Name:LEE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HYUN
Authorized Official - Middle Name:JIN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-789-6957
Mailing Address - Street 1:10015 CAMPESTRAL CT
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-6614
Mailing Address - Country:US
Mailing Address - Phone:770-789-6957
Mailing Address - Fax:678-426-6100
Practice Address - Street 1:10015 CAMPESTRAL CT
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-6614
Practice Address - Country:US
Practice Address - Phone:770-789-6957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health