Lee Street Operating Company LLC
Custodial Care Facility, Adult Care Home in Augusta, GA. Organization (NPI-2).
NPI number1346790664
StatusActive
Last updated in NPPESOct 11, 2016
Details
- NPI
- 1346790664
- Entity type
- Organization (NPI-2)
- Legal business name
- Lee Street Operating Company LLC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2016
- Last updated
- Oct 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Other names
- Augusta Villas (Doing Business As)
Practice location
2237 Lee StAugusta, GA 30904-4833
Phone 706-736-9663
Mailing address
5300 W Sam Houston Pkwy NSuite 100
Houston, TX 77041-5161
Phone 832-467-6000
Authorized official
Kelle C Santoro
Sr Director Ar
8324675728
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