| NPI | 1003567090 |
|---|---|
| Other Name | LILEE JS CORPORATION |
| Entity Type | Organization |
| Authorized Contact | LEANNE LANSIQUOT Owner 860-690-5118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |