Organization
LEISON HOMES
Active
Parent organization
LEISON HOMES
Other names
Leison House AFC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEISON HOMES
Authorized official
DENA KAY HARRISON (LICENSEE)
(269) 686-1160
Entity
Organization
Contact information
Practice address
124 JAMES ST, ALLEGAN, MI 49010-1426
(269) 686-1160
(269) 355-6206
Mailing address
124 JAMES ST, ALLEGAN, MI 49010-1426
(269) 686-1160
(269) 355-6206
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AF030238133
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3868837
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
MI
Enumeration date
06/29/2010
Last updated
09/12/2011
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