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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