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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JAMAAL LEE LEATHERS

Active Sole Proprietor

MR. JAMAAL LEE LEATHERS is a Assisted Living Facility healthcare provider located in DURHAM, North Carolina. NPI 1720416043 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · DURHAM, NC

Registration Details

NPI Number
1720416043
Provider Type
Individual
Gender
Male
NPI Issued
Oct 23, 2013 (12.625879918595 yrs)
Last Updated
Apr 2, 2014
Licenses
FCL-032-132 (NC)
FCL-032-132 (NC)
FCL-032-132 (NC)
Sole Proprietor
Yes

Practice Information

Address
1011 PARK AVE
DURHAM, NC, 277013548
Browse NC providers · Browse ZIP 27701
Phone
9193816583
Primary Specialty
Assisted Living Facility
311ZA0620X
Additional Specialty
376G00000X

Other Assisted Living Facility Providers in DURHAM, NC

Name Credential NPI
TONIA CATRICE CRAWLEY 1942544499
TISA ROGERS 1295504017
SHENELL JONES 1003769225
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.