Organization
ANNAS CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA ELIAZBETH GIBSON (DIRECTOR)
(910) 455-6724
Entity
Organization
Contact information
Practice address
180 COASTAL LN, JACKSONVILLE, NC 28546-6761
(910) 455-6724
(910) 346-5489
Mailing address
180 COASTAL LN, JACKSONVILLE, NC 28546-6761
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL067131
NC
261QD1600X
Developmental Disabilities Clinic/Center
MHL067131
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL067131
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409385
—
NC
Enumeration date
12/29/2006
Last updated
03/17/2018
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