Provider Demographics
NPI:1518594779
Name:LEE FAMILY CARE
Entity Type:Organization
Organization Name:LEE FAMILY CARE
Other - Org Name:CARE NOW HEALTH
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:270-285-1100
Mailing Address - Street 1:701 US HIGHWAY 60 E
Mailing Address - Street 2:
Mailing Address - City:MORGANFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42437-1169
Mailing Address - Country:US
Mailing Address - Phone:270-285-1100
Mailing Address - Fax:270-285-1169
Practice Address - Street 1:701 US HIGHWAY 60 E
Practice Address - Street 2:
Practice Address - City:MORGANFIELD
Practice Address - State:KY
Practice Address - Zip Code:42437-1169
Practice Address - Country:US
Practice Address - Phone:270-285-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100682100Medicaid