LEISON HOMES NPI 1790096352

NPI Information

NPI: 1790096352
Provider Name: LEISON HOMES

Other Name: LEISON HOUSE AFC

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
124 JAMES ST
ALLEGAN, MI
ZIP 49010
Phone: (269) 686-1160
Get Directions

LEISON HOMES is a residential treatment facility, intellectual and/or developmental disabilities in Allegan, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. LEISON HOMES NPI is 1790096352. The provider is registered as an organization entity type.
The provider Other Name Is Leison House Afc.

The provider's business location address is:

124 JAMES ST
ALLEGAN, MI
ZIP 49010-426
Phone: (269) 686-1160
Fax: (269) 355-6206

The provider's authorized official is Dena Kay Harrison .
The authorized official title is Licensee and has the following contact phone number (269) 686-1160.

The enumeration date for this NPI number is 6/29/2010 and was last updated on 9/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		AF030238133	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3868837	OTHER	MICHIGAN	MICHIGAN DEPARTMENT OF COMMUNITY HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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