Provider Demographics
NPI:1881178200
Name:LEE COMMUNITY HELP CORP
Entity type:Organization
Organization Name:LEE COMMUNITY HELP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAIMELYS
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-201-7704
Mailing Address - Street 1:12995 S CLEVELAND AVE STE 172
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3841
Mailing Address - Country:US
Mailing Address - Phone:239-201-7704
Mailing Address - Fax:239-236-1778
Practice Address - Street 1:12995 S CLEVELAND AVE STE 172
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3841
Practice Address - Country:US
Practice Address - Phone:239-201-7704
Practice Address - Fax:239-236-1778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management