Rene Marie Lee

Individual provider Active NPI Personal Care Attendant · Conyers, GA

NPI 1265211502 · NPPES record last updated Sep 26, 2023

Key facts

NPI
1265211502
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
169 Shadow Lake Dr
Conyers, GA 30094-4118
Phone
(404) 798-8352
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Attendant Care Provider 3747A0650X
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

169 Shadow Lake Dr
Conyers, GA 30094-4118

Mailing address

PO Box 82982
Conyers, GA 30013-8013
Phone (404) 798-8352

Other providers in Conyers, GA

All providers in Conyers, GA · Personal Care Attendant in Georgia

Sources for this page

Verify at the official NPI Registry.