Organization · Type 2 NPI
Johnston County Group Homes, Inc.
Intellectual Disabilities Intermediate Care Facility · Pine Level, NC
NPI number
1841496015
Active
Practice location
505 West Blanche St.
Pine Level, NC 27568
Fax (919) 965-0158
Mailing address
PO Box 1768
Smithfield, NC 27577-1768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | MHL-051-113 (NC) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Pine Level
About NPI 1841496015
Johnston County Group Homes, Inc.'s National Provider Identifier is 1841496015, issued on Jun 25, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pine Level, NC. The record was last updated on Aug 22, 2020.