Provider Demographics
NPI:1326346420
Name:JOHN T. LESLIE, II, INC
Entity Type:Organization
Organization Name:JOHN T. LESLIE, II, INC
Other - Org Name:TLC HOMECAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-591-0915
Mailing Address - Street 1:15110 MINTZ LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1412
Mailing Address - Country:US
Mailing Address - Phone:281-591-0915
Mailing Address - Fax:281-591-0921
Practice Address - Street 1:15110 MINTZ LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1412
Practice Address - Country:US
Practice Address - Phone:281-591-0915
Practice Address - Fax:281-591-0921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-14
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health