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Jamaal Leathers
Physical Disabilities Residential Treatment Facility in Durham, North Carolina
NPI 1649699588

Jamaal Leathers is a Physical Disabilities Residential Treatment Facility based in Durham, NC. Jamaal Leathers practices in Durham, NC. The NPI Number for Jamaal Leathers is 1649699588 and holds a License No. FCL-032-132 (North Carolina).

The current practice location address for Jamaal Leathers is 1011 Park Ave, Durham, NC and can be reached out via phone at 919-381-6583.

Location: 1011 Park Ave, Durham, NC, 27701-3548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649699588
Provider Name
Jamaal Leathers
Credential
Provider Entity Type
Organization
Address
1011 Park Ave, Durham, NC, 27701-3548
Phone Number
919-381-6583
Fax Number
Provider Enumeration Date
04/08/2014
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
1011 Park Ave
City
Durham
State
North Carolina
Zip
27701-3548
Phone Number
919-381-6583
Fax Number
person
Provider Business Mailing Address Details
Address
1011 Park Ave
City
Durham
State
North Carolina
Zip
27701-3548
Phone Number
919-381-6583
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.
FCL-032-132 (North Carolina)
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
FCL-032-132 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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