Organization
L & J HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY ALVIN LEATH (CEO)
(336) 227-8030
Entity
Organization
Contact information
Practice address
803 ELIZABETH STREET, BURLINGTON, NC 27217-2545
(336) 227-5593
(336) 227-3288
Mailing address
P.O. BOX 2273, 1355 N. CHURCH STREET, BURLINGTON, NC 27217-2803
(336) 227-8030
(336) 227-3288
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL001073
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409397
—
NC
Enumeration date
05/08/2013
Last updated
12/04/2019
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