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Mrs. Linda Elizabeth Gibson
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jacksonville, North Carolina
NPI 1265693584

Linda Elizabeth Gibson is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Jacksonville, NC. Linda Elizabeth Gibson practices in Jacksonville, NC. The NPI Number for Linda Elizabeth Gibson is 1265693584 and holds a License No. MHL-067-026 (North Carolina).

The current practice location address for Linda Elizabeth Gibson is 180 Coastal Ln, Jacksonville, NC and can be reached out via phone at 910-455-6724 and via fax at 910-346-5489. You can also correspond with Linda Elizabeth Gibson through the mailing address at 180 COASTAL LN, JACKSONVILLE, NC - 28546-6761 (mailing address contact number: 910-455-6724).

Location: 180 Coastal Ln, Jacksonville, NC, 28546-6761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265693584
Provider Name
Linda Elizabeth Gibson
Credential
Provider Entity Type
Individual
Gender
Female
Address
180 Coastal Ln, Jacksonville, NC, 28546-6761
Phone Number
910-455-6724
Fax Number
910-346-5489
Provider Enumeration Date
06/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3408956 05 NC
institution
Provider Business Practice Location Address Details
Address
180 Coastal Ln
City
Jacksonville
State
North Carolina
Zip
28546-6761
Phone Number
910-455-6724
Fax Number
910-346-5489
person
Provider Business Mailing Address Details
Address
180 Coastal Ln
City
Jacksonville
State
North Carolina
Zip
28546-6761
Phone Number
910-455-6724
Fax Number
910-346-5489
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-067-026 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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