Organization
HOWELL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERALD T HOWELL (CEO)
(919) 778-1506
Entity
Organization
Contact information
Practice address
1510 FARMGATE RD, KINSTON, NC 28504-8952
(252) 523-1886
(252) 523-0801
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
MHL054093
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806723
—
NC
Enumeration date
03/27/2007
Last updated
01/10/2013
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