Johnston County Industries, Inc.
Organization Active NPI Developmentally Disabled Services Day Training Agency · Selma, NC
NPI 1831276005 · NPPES record last updated Aug 26, 2008
Key facts
- NPI
- 1831276005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- JOHNSTON COUNTY INDUSTRIES, INC.
- Practice address
- 1100 E Preston St
Selma, NC 27576-3162 - Phone
- (919) 743-8700
- Fax
- (919) 965-8023
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Vicki R. Shore
- Title
- Executive Director
- Phone
- (919) 743-8702
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Johnston County Industries Inc
Locations
1100 E Preston St
Selma, NC 27576
Phone (919) 743-8700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
1100 E Preston St
Selma, NC 27576-3162
Mailing address
1100 E Preston St
Selma, NC 27576-3162
Phone (919) 743-8700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408226 | Medicaid | NC |
Other providers in Selma, NC
- Kayla Marie Jentes
- Frances Casey Liverman Johnson
- Jocelyn-Marie A Johnson
- Thomas Oral Johnson
- Johnston County Industries, Inc.
- Johnston Sleep Disorders Center LLC
- Patty Jones
- Brandon Charles Joseph
- Justin R. Barbaro DDS, PLLC
- Kim J Kelly
All providers in Selma, NC · Developmentally Disabled Services Day Training Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.