Organization
JOHNSTON COUNTY GROUP HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET GAIL HARPER (ADMINISTRATOR)
(919) 965-0340
Entity
Organization
Contact information
Practice address
217 GEORGE ST, FOUR OAKS, NC 27577-1768
(919) 963-2563
(919) 963-2563
Mailing address
PO BOX 1768, SMITHFIELD, NC 27577-1768
(919) 965-0340
(919) 965-0340
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
FCL-051-006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802127
—
NC
Enumeration date
06/25/2007
Last updated
08/22/2020
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