BOBBY LEATHERS JR NPI 1407021124

NPI Information

BOBBY LEATHERS JR is a residential treatment facility, intellectual and/or developmental disabilities in Durham, NC. 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. BOBBY LEATHERS JR NPI is 1407021124. The provider is registered as an organization entity type.
The provider Is Doing Business As Dorothy's House Of Care.

The provider's business location address is:

207 NORMANDY ST
DURHAM, NC
ZIP 27707-022
Phone: (919) 475-4227
Fax: (919) 598-5167

The provider's authorized official is Bobby Lee Leathers .
The authorized official title is Administor and has the following contact phone number (919) 475-4227.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 1/13/2009.

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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