MS. TARA LEAH LESLIE NPI 1871262493

NPI Information

MS. Tara Leah Leslie is an intermediate care facility mentally retarded in Greenville, NC. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. MS. Tara Leah Leslie NPI is 1871262493. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

412 CIRCLE DR
GREENVILLE, NC
ZIP 27858-715
Phone: (252) 450-9244

The enumeration date for this NPI number is 9/8/2021 and was last updated on 9/8/2021.

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:

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