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Organization
BREAKTHROUGH SERVICES INC.
Active
Organization
BREAKTHROUGH SERVICES INC.
Active
Other names
Breakthrough Homes and Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE CHRISTIAN BODNARIK (FISCAL DIRECTOR)
(910) 347-6009
Entity
Organization
Contact information
Practice address
114A MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 347-6009
(910) 355-2267
Mailing address
114A MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 347-6009
(910) 355-2267
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418095
—
NC
05
—
8301307
—
NC
05
—
8301307B
—
NC
05
—
8301307G
—
NC
Enumeration date
03/19/2008
Last updated
06/30/2008
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