Individual provider · Type 1 NPI
Leasie Hawkins
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Decatur, AL
Practice location
1007 14th Ave SW
Decatur, AL 35601-2709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1891472106
Leasie Hawkins's National Provider Identifier is 1891472106, issued on Jun 28, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Decatur, AL. The record was last updated on Jun 28, 2023.