Provider Demographics
NPI:1548621303
Name:LEON COUNTY
Entity type:Organization
Organization Name:LEON COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR LCHRC
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:RHEA
Authorized Official - Last Name:DANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-536-4033
Mailing Address - Street 1:PO BOX 1429
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75833-1429
Mailing Address - Country:US
Mailing Address - Phone:903-536-4033
Mailing Address - Fax:
Practice Address - Street 1:529 W LASSATER
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:TX
Practice Address - Zip Code:75833
Practice Address - Country:US
Practice Address - Phone:903-536-4033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable