LEE LEGACY GROUP LLC NPI 1023709912

NPI Information

NPI: 1023709912
Provider Name: LEE LEGACY GROUP LLC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1802 E VINEYARD RD
PHOENIX, AZ
ZIP 85042
Phone: (480) 932-1804
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LEE LEGACY GROUP LLC is a residential treatment facility emotionally disturbed children in Phoenix, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. LEE LEGACY GROUP LLC NPI is 1023709912. The provider is registered as an organization entity type.

The provider's business location address is:

1802 E VINEYARD RD
PHOENIX, AZ
ZIP 85042-704
Phone: (480) 932-1804

The provider's authorized official is Tremeal Ray Manley .
The authorized official title is Chief Executive Officer and has the following contact phone number (480) 932-1804.

The enumeration date for this NPI number is 5/19/2023 and was last updated on 5/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				No
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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