Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLIE J MATHIS
Active Sole ProprietorAssisted Living Facility · MAGNOLIA, NC
Registration Details
- NPI Number
- 1568159994
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2023 (3.0485824192561 yrs)
- Last Updated
- Apr 18, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
3911 WAYCROSS RDMAGNOLIA, NC, 284538091Browse NC providers · Browse ZIP 28453
- Phone
- 5622574856
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.