Organization · Type 2 NPI

Jamaal Leathers

Adult Care Home Facility · Durham, NC

NPI number 1649699588 Active

Practice location

1011 Park Ave
Durham, NC 27701-3548

Call (919) 381-6583 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XFCL-032-132 (NC)
Physical Disabilities Residential Treatment Facility 320700000XFCL-032-132 (NC)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2 other providers at this address

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About NPI 1649699588

Jamaal Leathers's National Provider Identifier is 1649699588, issued on Apr 8, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Durham, NC. The record was last updated on Apr 8, 2014.