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Johnston County Group Homes, Inc.
Intellectual Disabilities Intermediate Care Facility in Pine Level, North Carolina
NPI 1841496015

Johnston County Group Homes, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Smithfield, NC. Johnston County Group Homes, Inc. practices in Pine Level, NC. The NPI Number for Johnston County Group Homes, Inc. is 1841496015 and holds a License No. MHL-051-113 (North Carolina).

The current practice location address for Johnston County Group Homes, Inc. is 505 West Blanche St., Pine Level, NC and can be reached out via phone at 919-965-0158 and via fax at 919-965-0158.

Location: 505 West Blanche St., Pine Level, NC, 27577-1768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841496015
Provider Name
Johnston County Group Homes, Inc.
Credential
Provider Entity Type
Organization
Address
505 West Blanche St., Pine Level, NC, 27577-1768
Phone Number
919-965-0158
Fax Number
919-965-0158
Provider Enumeration Date
06/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3408949 05 NC
7804465 05 NC
institution
Provider Business Practice Location Address Details
Address
505 West Blanche St.
City
Pine Level
State
North Carolina
Zip
27568
Phone Number
919-965-0158
Fax Number
919-965-0158
person
Provider Business Mailing Address Details
Address
505 West Blanche St.
City
Pine Level
State
North Carolina
Zip
27568
Phone Number
919-965-0158
Fax Number
919-965-0158
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-051-113 (North Carolina)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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