Organization
JOHNSON CENTER HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA FERGUSON RN (EXECUTIVE DIRECTOR)
(910) 843-7007
Entity
Organization
Contact information
Practice address
119 1/2 S MAIN ST, RED SPRINGS, NC 28377-1511
(910) 843-7007
(910) 843-7008
Mailing address
PO BOX 844, RED SPRINGS, NC 28377-0844
(910) 843-7007
(910) 843-7008
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC3072
NC
251S00000X
Community/Behavioral Health Agency
Primary
HC3072
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
078143
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408297
—
NC
05
—
3408512
—
NC
05
—
6601315
—
NC
05
—
6603805
—
NC
05
—
6604260
—
NC
05
—
8300663
—
NC
Enumeration date
01/12/2007
Last updated
07/31/2013
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