institution
Hawthorne Services Incorporated
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Goldsboro, North Carolina
NPI 1275684664

Hawthorne Services Incorporated is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Goldsboro, NC. Hawthorne Services Incorporated practices in Goldsboro, NC. The NPI Number for Hawthorne Services Incorporated is 1275684664 and holds a License No. MHL096148 (North Carolina).

The current practice location address for Hawthorne Services Incorporated is 1510 S Slocumb St, Goldsboro, NC and can be reached out via phone at 919-735-2158 and via fax at 919-288-3644. You can also correspond with Hawthorne Services Incorporated through the mailing address at 1912 STEPHENS ST, GOLDSBORO, NC - 27530-6756 (mailing address contact number: 919-735-2158).

Location: 1510 S Slocumb St, Goldsboro, NC, 27530-6756
institution
Provider Profile Details
NPI Number
1275684664
Provider Name
Hawthorne Services Incorporated
Credential
Provider Entity Type
Organization
Address
1510 S Slocumb St, Goldsboro, NC, 27530-6756
Phone Number
919-735-2158
Fax Number
919-288-3644
Provider Enumeration Date
01/14/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804703 05 NC
8301062B 05 NC
3408681 05 NC
institution
Provider Business Practice Location Address Details
Address
1510 S Slocumb St
City
State
Zip
27530-6955
Phone Number
919-735-2158
Fax Number
919-288-3644
person
Provider Business Mailing Address Details
Address
1912 Stephens St
City
State
Zip
27530-6756
Phone Number
919-735-2158
Fax Number
919-288-3644
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL096148 (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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