Individual
CODY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
56919 709TH RD, FAIRBURY, NE 68352-5545
(402) 587-1655
Mailing address
121 W 15TH ST, FAIRBURY, NE 68352-1043
(402) 587-2093
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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