Organization
JAMAAL LEATHERS
Active
Other names
Maggie's Helping Hands
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAAL LEE LEATHERS (ADMINISTRATOR)
(919) 423-9236
Entity
Organization
Contact information
Practice address
1011 PARK AVE, DURHAM, NC 27701-3548
(919) 381-6583
Mailing address
1011 PARK AVE, DURHAM, NC 27701-3548
(919) 381-6583
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-032-132
NC
320700000X
Physical Disabilities Residential Treatment Facility
FCL-032-132
NC
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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