Provider Demographics
NPI:1851817639
Name:LEE SERVICES LLC
Entity Type:Organization
Organization Name:LEE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:D'SYLVA-LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:908-328-5374
Mailing Address - Street 1:PO BOX 18
Mailing Address - Street 2:
Mailing Address - City:CHANGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07831-0018
Mailing Address - Country:US
Mailing Address - Phone:908-328-5374
Mailing Address - Fax:
Practice Address - Street 1:401 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-3095
Practice Address - Country:US
Practice Address - Phone:908-328-5374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-14
Last Update Date:2017-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251C00000X
344600000X, 373H00000X, 385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No344600000XTransportation ServicesTaxiGroup - Multi-Specialty
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child