Organization
JOHNSTON COUNTY INDUSTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI R. SHORE (EXECUTIVE DIRECTOR)
(919) 743-8702
Entity
Organization
Contact information
Practice address
1100 E PRESTON ST, SELMA, NC 27576-3162
(919) 743-8700
(919) 965-8023
Mailing address
1100 E PRESTON ST, SELMA, NC 27576-3162
(919) 743-8700
(919) 965-8023
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408226
—
NC
Enumeration date
11/01/2006
Last updated
08/26/2008
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