Provider Demographics
NPI:1154687382
Name:LEE CARE, INC.
Entity type:Organization
Organization Name:LEE CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:239-368-2993
Mailing Address - Street 1:833 EISENHOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33974-3603
Mailing Address - Country:US
Mailing Address - Phone:239-368-2993
Mailing Address - Fax:941-803-2839
Practice Address - Street 1:833 EISENHOWER BLVD
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33974-3603
Practice Address - Country:US
Practice Address - Phone:239-368-2993
Practice Address - Fax:941-803-2839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLALF12014273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit