Individual provider · Type 1 NPI

Jamaal Lee Leathers

Adult Care Home Facility · Durham, NC

NPI number 1720416043 Active

Practice location

1011 Park Ave
Durham, NC 27701-3548

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XFCL-032-132 (NC)
Physical Disabilities Residential Treatment Facility 320700000XFCL-032-132 (NC)
Nursing Home Administrator 376G00000XFCL-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 1720416043

Jamaal Lee Leathers's National Provider Identifier is 1720416043, issued on Oct 23, 2013. 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 2, 2014.