Organization
HOWELL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERALD HOWELL (CEO)
(919) 778-1506
Entity
Organization
Contact information
Practice address
902 RHEM ST, KINSTON, NC 28501-3726
(919) 778-1506
(919) 778-1535
Mailing address
PO BOX 10946, GOLDSBORO, NC 27532-0946
(919) 778-1506
(919) 778-1535
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-054-094
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806719
—
NC
Enumeration date
01/11/2007
Last updated
11/28/2012
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