Individual
LUANN R LEIGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4214 SUMMER SHADE WAY, OWINGS MILLS, MD 21117-4872
(443) 838-6184
Mailing address
4214 SUMMER SHADE WAY, OWINGS MILLS, MD 21117-4872
(443) 838-6184
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
TBD
MD
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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