# WAYNE COUNTY GROUP HOMES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174674220
- **Authorized official:** MR. PAUL A HACKMANN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 734-7398

## Contact information

- **Practice address:** 1109 ROYALL AVE, GOLDSBORO, NC 27534-2505
- **Practice address phone:** (919) 734-7398
- **Practice address fax:** (919) 735-5064
- **Mailing address:** PO BOX 979, GOLDSBORO, NC 27533-0979
- **Mailing address phone:** (919) 734-7398
- **Mailing address fax:** (919) 735-5064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/22/2020