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NPI Code Detail

MEDICARE: EAST LEE FAMILY SERVICES

MEDICARE: EAST LEE FAMILY SERVICES
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
1251B00000XCase Management Agency
2251C00000XDevelopmentally Disabled Services Day Training Agency
3251T00000XPACE Provider Organization
4252Y00000XEarly Intervention Provider Agency
5253Z00000XIn Home Supportive Care Agency
6251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1730319948
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST LEE FAMILY SERVICES
Provider Business Mailing Address
First Line : 3001 STANTONSBURG RD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-7276
Country : US
Telephone Number : 252-347-8642
Fax Number : 252-321-2740
Provider Business Practice Location Address
First Line : 3001 STANTONSBURG RD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-7276
Country : US
Telephone Number : 252-347-8642
Fax Number : 252-321-2740
Authorized Official
Title or Position : OWNER
Name : MRS. FREDRIKA MURRILL COOKE
Credential :
Telephone Number : 252-347-8642
Provider Enumeration Date : 07/22/2009
Last Update Date : 07/22/2009

Similar Medicare Providers

1609700913 — KARIGAN KENNEDY ZAFERATOS
Practice Location Address:
3001 STANTONSBURG RD
GREENVILLE, NC
27834-7276
Practice Phone: 252-439-0700
Practice Fax:
1487460564 — INTEGRATED FAMILY SERVICES, PLLC
Practice Location Address:
3005 STANTONSBURG RD
GREENVILLE, NC
27834-7276
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1942196894 — HUNTER JAMES MOSELEY LCSWA
Practice Location Address:
3001 STANTONSBURG RD
GREENVILLE, NC
27834-7276
Practice Phone: 252-439-0700
Practice Fax:
1285519736 — MS. TAYLOR ANNE HAMMETT LCSWA
Practice Location Address:
3001 STANTONSBURG RD
GREENVILLE, NC
27834-7276
Practice Phone: 919-691-2339
Practice Fax:
1205789583 — CAITLIN ASHLIE TOLLEY LCSWA
Practice Location Address:
3001 STANTONSBURG RD
GREENVILLE, NC
27834-7276
Practice Phone: 252-999-0702
Practice Fax:
1134067598 — BRIANA LEWIS LCSWA
Practice Location Address:
3001 STANTONSBURG RD
GREENVILLE, NC
27834-7276
Practice Phone: 252-439-0700
Practice Fax: 252-689-6351

Directions to “EAST LEE FAMILY SERVICES ” Practice Location

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