Provider Demographics
NPI:1386973543
Name:KD LEE LLC
Entity type:Organization
Organization Name:KD LEE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/R.N.
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ESLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LMP
Authorized Official - Phone:509-248-1255
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:SELAH
Mailing Address - State:WA
Mailing Address - Zip Code:98942-0577
Mailing Address - Country:US
Mailing Address - Phone:509-248-1255
Mailing Address - Fax:509-248-1255
Practice Address - Street 1:121 SUNSET LN
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-9601
Practice Address - Country:US
Practice Address - Phone:509-248-1255
Practice Address - Fax:509-248-1255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home