Janice M. Leonard in Longview - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Janice M. Leonard - NPI 1689890592
Janice M. Leonard is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Longview, Texas. Janice M. Leonard practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Janice M. Leonard is 1689890592. The last update date is 2020-08-22.
Janice M. Leonard's current location address is 408 Fawn Trl # A, Longview, Texas. You can contact this provider via phone number 9032970929 and fax number 9032975345. The mailing address for Janice M. Leonard is 408 Fawn Trl # A, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Janice M. Leonard |
|---|---|
| Address | 408 Fawn Trl # A, Longview, Texas |
| Phone Number | 9032970929 |
| Fax Number | 9032975345 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO AND PR |
|---|---|
| Authorized Official Name | Leonard M Janice |
| Telephone Number | 9032970929 |
NPI Number Detail
| NPI Number | 1689890592 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 408 Fawn Trl # A |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756041911 |
| Phone Number | 9032970929 |
| Fax Number | 9032975345 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 88H | TX | COMPONENT CODE - DADS |
Post Comment/ Review Below
What is the unique identifier code issued to Janice M. Leonard by the Centers for Medicare & Medicaid Services (CMS)?
The Janice M. Leonard has been assigned the NPI (National Provider Identifier) 1689890592. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Janice M. Leonard?
The Janice M. Leonard is physically situated at 408 Fawn Trl # A, in the city of Longview, state of TX, with the postal code 756041911.
What is Janice M. Leonard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Janice M. Leonard's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
On what date did the Janice M. Leonard receive the assignment of its 1689890592 from the Centers for Medicare & Medicaid Services?
The Janice M. Leonard was issued its 1689890592 by the Centers for Medicare & Medicaid Services on 2007-04-18.
When was the Janice M. Leonard's information last updated?
The Janice M. Leonard's information was last updated on 2020-08-22.