Organization · Type 2 NPI
Linda Shorts Home
Developmental Disabilities Clinic/Center · Jacksonville, NC
Practice location
106 Grantham Ln
Jacksonville, NC 28546-8150
Mailing address
180 Coastal Ln
Jacksonville, NC 28546-6761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | MHL067026 (NC) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MHL067026 (NC) |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
About NPI 1316003668
Linda Shorts Home's National Provider Identifier is 1316003668, issued on Dec 29, 2006. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Jacksonville, NC. The record was last updated on Jun 24, 2015.