Janice M. Leonard
Janice M. Leonard is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Longview, Texas. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1413 W Loop 281 Ste 102Longview, TX 75604-2849
Phone: (903) 297-0929
Fax: (903) 297-5345
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1689890592 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Janice Leonard — Ceo / Program Manager · (903) 297-0929 |
| Other names | Custom Care Hcs |
| NPI enumerated | April 18, 2007 |
| Last updated in NPPES | January 22, 2024 |
| Certification date | January 22, 2024 |
| Mailing address | 1413 W Loop 281 Ste 102, Longview, TX 75604-2849 |
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