MEDICARE: ROBERT E LEE INVESTORS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1528049616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT E LEE INVESTORS, LLC

Provider Business Mailing Address
First Line	:	201 E ELM ST
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-3428
Country	:	US
Telephone Number	:	502-267-9057
Fax Number	:	502-267-9098

Provider Business Practice Location Address
First Line	:	201 E ELM ST
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-3428
Country	:	US
Telephone Number	:	502-267-9057
Fax Number	:	502-267-9098

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM V CROFT
Credential	:
Telephone Number	:	502-267-9057

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	08/22/2020

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