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Ms. Tara Leah Leslie
Intellectual Disabilities Intermediate Care Facility in Greenville, North Carolina
NPI 1871262493

Tara Leah Leslie is a Intellectual Disabilities Intermediate Care Facility based in Greenville, NC. Tara Leah Leslie practices in Greenville, NC. The NPI Number for Tara Leah Leslie is 1871262493 and holds a License No. (North Carolina).

The current practice location address for Tara Leah Leslie is 412 Circle Dr, Greenville, NC and can be reached out via phone at 252-450-9244.

Location: 412 Circle Dr, Greenville, NC, 27858-9715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871262493
Provider Name
Tara Leah Leslie
Credential
Provider Entity Type
Individual
Gender
Female
Address
412 Circle Dr, Greenville, NC, 27858-9715
Phone Number
252-450-9244
Fax Number
Provider Enumeration Date
09/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
412 Circle Dr
City
Greenville
State
North Carolina
Zip
27858-9715
Phone Number
252-450-9244
Fax Number
person
Provider Business Mailing Address Details
Address
412 Circle Dr
City
Greenville
State
North Carolina
Zip
27858-9715
Phone Number
252-450-9244
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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