NPI 1720416043

Jamaal Lee Leathers

Practitioner Adult Care Home Facility Durham, NC

Practice location

Address: 1011 Park Ave, Durham, NC 27701-3548
Phone: (919) 381-6583

Registered specialties (3)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence FCL-032-132 (NC)

Other Custodial Care Facility providers in North Carolina →

Physical Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320700000X Licence FCL-032-132 (NC)

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Nursing Home Administrator

Nursing Service Related Providers Taxonomy 376G00000X Licence FCL-032-132 (NC)

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Registry record

NPI: 1720416043
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2013
Record last updated: 2 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.