J. LEE C. HEALTHCARE, INC.
Nursing Yellow Pages
Tyner, North Carolina
Provider NPI: 1992833321
Organization Information:Organization Name: J. LEE C. HEALTHCARE, INC.
Practice Location:
401 DILLARD'S MILL RD TYNER, NC 27980 US
Tel: 252-221-8113 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
401 DILLARD'S MILL RD TYNER, NC 27980 US
Tel: 252-221-8113 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NC | FCL-072007 |
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | FCL-021004 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7804255 | NC | 05 | |
7804674 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin