Leison Homes

NPI #1790096352 in Allegan, Michigan

Provider Information

NPI Number: 1790096352
Entity Type: Organization
Organization Name: Leison Homes
Subpart: Yes (part of a larger organization)
Parent Organization: LEISON HOMES
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 29, 2010
Last Updated: Sep 12, 2011

Practice Location

Address: 124 JAMES ST
City: Allegan
State: Michigan
ZIP Code: 49010-1426
Phone: (269) 686-1160

Authorized Official

Name: DENA KAY HARRISON
Title: LICENSEE
Phone: (269) 686-1160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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