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Leslie J Mathis
Adult Care Home Facility in Magnolia, North Carolina
NPI 1568159994

Leslie J Mathis is an Adult Care Home Facility based in Magnolia, NC and is specialized in Adult Care Home. Leslie J Mathis practices in Magnolia, NC. The NPI Number for Leslie J Mathis is 1568159994 and holds a License No. (North Carolina).

The current practice location address for Leslie J Mathis is 3911 Waycross Rd, Magnolia, NC and can be reached out via phone at 562-257-4856.

Location: 3911 Waycross Rd, Magnolia, NC, 28453-8091
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568159994
Provider Name
Leslie J Mathis
Credential
Provider Entity Type
Individual
Gender
Male
Address
3911 Waycross Rd, Magnolia, NC, 28453-8091
Phone Number
562-257-4856
Fax Number
Provider Enumeration Date
04/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3911 Waycross Rd
City
Magnolia
State
North Carolina
Zip
28453-8091
Phone Number
562-257-4856
Fax Number
person
Provider Business Mailing Address Details
Address
3911 Waycross Rd
City
Magnolia
State
North Carolina
Zip
28453-8091
Phone Number
562-257-4856
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
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.
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