Linda Elizabeth Gibson in Jacksonville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Linda Elizabeth Gibson - NPI 1265693584
Linda Elizabeth Gibson is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Jacksonville, North Carolina. Linda Elizabeth Gibson practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Linda Elizabeth Gibson is 1265693584. The last update date is 2015-06-19.
Linda Elizabeth Gibson's current location address is 180 Coastal Ln, Jacksonville, North Carolina. You can contact this provider via phone number 9104556724 and fax number 9103465489. The mailing address for Linda Elizabeth Gibson is 180 Coastal Ln, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda Elizabeth Gibson |
|---|---|
| Address | 180 Coastal Ln, Jacksonville, North Carolina |
| Phone Number | 9104556724 |
| Fax Number | 9103465489 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1265693584 |
|---|---|
| Provider Enumeration Date | 2008-06-19 |
| Last Updated Date | 2015-06-19 |
Provider Mailing Address Detail
| Address | 180 Coastal Ln |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285466761 |
| Phone Number | 9104556724 |
| Fax Number | 9103465489 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL-067-026 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3408956 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Linda Elizabeth Gibson by the Centers for Medicare & Medicaid Services (CMS)?
The Linda Elizabeth Gibson has been assigned the NPI (National Provider Identifier) 1265693584. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Linda Elizabeth Gibson's facilities are situated?
The facilities of Linda Elizabeth Gibson are physically located at the following address: 180 Coastal Ln, Jacksonville, NC, 285466761.
What is Linda Elizabeth Gibson's area of expertise and its corresponding taxonomy classification?
The Linda Elizabeth Gibson's field of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their areas of practice.
When was the Linda Elizabeth Gibson's 1265693584 issued?
The Linda Elizabeth Gibson's 1265693584 was issued on 2008-06-19.
As of what date was the information regarding Linda Elizabeth Gibson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Linda Elizabeth Gibson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-06-19.
NPI Number: 1235130048
Address: 1770 N Orange Grove Ave Ste 101, Pomona, CA