Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jamaal Lee Leathers

Individual provider Adult Care Home Facility · NPI 1720416043

Mr. Jamaal Lee Leathers is an Adult Care Home Facility in Durham, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2013
Specialties on file
3

Practice location Address checks out

1011 Park Ave
Durham, NC 27701-3548
Phone: (919) 381-6583
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence FCL-032-132 (NC)
Physical Disabilities Residential Treatment Facility Taxonomy 320700000X · Licence FCL-032-132 (NC)
Nursing Home Administrator Taxonomy 376G00000X · Licence FCL-032-132 (NC)

Record details

NPI number1720416043
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 23, 2013
Last updated in NPPESApril 2, 2014

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