Bobby Leathers Jr in Durham - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Bobby Leathers Jr - NPI 1407021124
Bobby Leathers Jr is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Durham, North Carolina. Bobby Leathers Jr practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Bobby Leathers Jr is 1407021124. The last update date is 2009-01-13.
Bobby Leathers Jr's current location address is 207 Normandy St, Durham, North Carolina. You can contact this provider via phone number 9194754227 and fax number 9195985167. The mailing address for Bobby Leathers Jr is 207 Normandy St, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bobby Leathers Jr |
|---|---|
| Address | 207 Normandy St, Durham, North Carolina |
| Phone Number | 9194754227 |
| Fax Number | 9195985167 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTOR |
|---|---|
| Authorized Official Name | Leathers Lee Bobby |
| Telephone Number | 9194754227 |
NPI Number Detail
| NPI Number | 1407021124 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2009-01-13 |
Provider Mailing Address Detail
| Address | 207 Normandy St |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277073022 |
| Phone Number | 9194754227 |
| Fax Number | 9195985167 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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Post Comment/ Review Below
What is the Bobby Leathers Jr's 1407021124?
The Bobby Leathers Jr's NPI (National Provider Identifier) Number is 1407021124. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bobby Leathers Jr is physically located?
The Bobby Leathers Jr is situated at the following address: 207 Normandy St, Durham, NC 277073022.
What is the area of specialization for Bobby Leathers Jr, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bobby Leathers Jr is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320600000X.
On what date did Bobby Leathers Jr receive its 1407021124 assignment from the Centers for Medicare & Medicaid Services?
The Bobby Leathers Jr was assigned its 1407021124 on 2008-04-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Bobby Leathers Jr, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bobby Leathers Jr, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-01-13.