Organization · Type 2 NPI

Lee Street Operating Company LLC

Adult Care Home Facility · Augusta, GA

NPI number 1346790664 Active

Practice location

2237 Lee St
Augusta, GA 30904-4833

Mailing address

5300 W Sam Houston Pkwy N, Suite 100
Houston, TX 77041-5161

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1346790664

Lee Street Operating Company LLC's National Provider Identifier is 1346790664, issued on Oct 11, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Augusta, GA. The record was last updated on Oct 11, 2016.