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Leasie Hawkins
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Decatur, Alabama
NPI 1891472106

Leasie Hawkins is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Decatur, AL. Leasie Hawkins practices in Decatur, AL. The NPI Number for Leasie Hawkins is 1891472106 and holds a License No. (Alabama).

The current practice location address for Leasie Hawkins is 1007 14Th Ave Sw, Decatur, AL and can be reached out via phone at 256-303-6030.

Location: 1007 14Th Ave Sw, Decatur, AL, 35601-2709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891472106
Provider Name
Leasie Hawkins
Credential
Provider Entity Type
Individual
Gender
Female
Address
1007 14Th Ave Sw, Decatur, AL, 35601-2709
Phone Number
256-303-6030
Fax Number
Provider Enumeration Date
06/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1007 14Th Ave Sw
City
Decatur
State
Alabama
Zip
35601-2709
Phone Number
256-303-6030
Fax Number
person
Provider Business Mailing Address Details
Address
1007 14Th Ave Sw
City
Decatur
State
Alabama
Zip
35601-2709
Phone Number
256-303-6030
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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