| Lees Personal Assisted Living | |
|
105 S 6th Ave 105 South 6 Avenue Lanett AL 36863-2415 | |
| (706) 773-5792 | |
| (334) 644-4441 |
| Full Name | Lees Personal Assisted Living |
|---|---|
| Speciality | Clinic/center |
| Location | 105 S 6th Ave, Lanett, Alabama |
| Authorized Official Name and Position | Jacobie Jean Dardy (OWNER/ADM.) |
| Authorized Official Contact | 7067735792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lees Personal Assisted Living 105 S 6th Ave 105 South 6 Avenue Lanett AL 36863-2415 Ph: (706) 773-5792 | Lees Personal Assisted Living 105 S 6th Ave 105 South 6 Avenue Lanett AL 36863-2415 Ph: (706) 773-5792 |
| NPI Number | 1932558053 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932558053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 259316257 (Alabama) | Primary |
Selfrecovery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 N Lanier Ave, Lanett, AL 36863 Phone: 334-644-6848 Fax: 334-644-5443 |