Provider Demographics
NPI:1275335267
Name:LEE, GRETCHEN ADAIR
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:ADAIR
Last Name:LEE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 WARRIOR DR
Mailing Address - Street 2:
Mailing Address - City:VINCENT
Mailing Address - State:OH
Mailing Address - Zip Code:45784-5403
Mailing Address - Country:US
Mailing Address - Phone:740-350-4188
Mailing Address - Fax:
Practice Address - Street 1:375 WARRIOR DR
Practice Address - Street 2:
Practice Address - City:VINCENT
Practice Address - State:OH
Practice Address - Zip Code:45784-5403
Practice Address - Country:US
Practice Address - Phone:740-350-4188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care