Linda Shorts Home
Linda Shorts Home is a Developmental Disabilities Clinic/Center in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.
- Licensed in
- NC
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
106 Grantham LnJacksonville, NC 28546-8150
Phone: (910) 455-4480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X · Licence MHL067026 (NC) |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence MHL067026 (NC) |
Record details
| NPI number | 1316003668 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Linda Gibson — Director · (910) 455-6724 |
| NPI enumerated | December 29, 2006 |
| Last updated in NPPES | June 24, 2015 |
| Mailing address | 180 Coastal Ln, Jacksonville, NC 28546-6761 |
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