Lees Personal Assisted Living LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

259316257 Issued in AL

Legal business name

LEES PERSONAL ASSISTED LIVING LLC

Doing business as

Lees Personal assisted Living

Practice address

105 S 6TH Ave
105 South 6 Avenue
Lanett, AL 36863-2415

Phone

(706) 773-5792

Fax

(334) 644-4441

NPI assigned

Jun 9, 2016

Last updated

Jun 9, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

YESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jacobie Jean Dardy, N/A

Title

Owner/Adm.

Phone

(706) 773-5792

Specialties & licenses 1

Addresses

Other names 1

• Lees Personal assisted Living Doing business as

Part of

Lees Personal Assisted Living LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1932558053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S 6TH AVE",
            "address_2": "105 SOUTH 6 AVENUE",
            "city": "LANETT",
            "state": "AL",
            "postal_code": "368632415",
            "telephone_number": "706-773-5792",
            "fax_number": "334-644-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S 6TH AVE",
            "address_2": "105 SOUTH 6 AVENUE",
            "city": "LANETT",
            "state": "AL",
            "postal_code": "368632415",
            "telephone_number": "706-773-5792",
            "fax_number": "334-644-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEES PERSONAL ASSISTED LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "DARDY",
        "authorized_official_first_name": "JACOBIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/ADM.",
        "authorized_official_telephone_number": "706-773-5792",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "259316257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lees Personal assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Lanett, AL
• Providers in Lanett, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.