Individual provider · Type 1 NPI
Linda Elizabeth Gibson
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Jacksonville, NC
Practice location
180 Coastal Ln
Jacksonville, NC 28546-6761
Fax (910) 346-5489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL-067-026 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
2 other providers at this address
Other intellectual and/or developmental disabilities residential treatment facility providers in Jacksonville
About NPI 1265693584
Linda Elizabeth Gibson's National Provider Identifier is 1265693584, issued on Jun 19, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Jacksonville, NC. The record was last updated on Jun 19, 2015.