Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Johnnie Legrant Lee

Individual provider Adult Care Home Facility · NPI 1104174085

Mr. Johnnie Legrant Lee is an Adult Care Home Facility in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2012

Practice location Address checks out

4347 4th Ave S
Minneapolis, MN 55409-2115
Phone: (612) 823-3880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 270227392 (MN)

Record details

NPI number1104174085
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 26, 2012
Last updated in NPPESAugust 26, 2012

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