JOHNNIE LEE

Adult Care Home Facility

NPI: 1104174085Individual

Specialties, Licenses & Credentials

Adult Care Home FacilityPrimary

Custodial Care Facility — Adult Care Home

Code: 311ZA0620X

270227392(MN)

Contact & Hours

Address: 4347 4TH AVE S
MINNEAPOLIS, MN 55409
Phone: (612) 823-3880

Quick Facts

NPI: 1104174085
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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