Bo's Johnathan House, Inc.
NPI #1194970681 in Middlesex, North Carolina
Provider Information
- NPI Number
- 1194970681
- Entity Type
- Organization
- Organization Name
- Bo's Johnathan House, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BO'S JOHNATHAN HOUSE, INC.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 25, 2008
- Last Updated
- Jan 27, 2009
Practice Location
- Address
- 300 WILL RD
- City
- Middlesex
- State
- North Carolina
- ZIP Code
- 27557-8317
- Phone
- (919) 369-5394
Authorized Official
- Name
- MRS. OBELIA WATSON HOCUTT
- Title
- EXECUTIVE DIRECTOR
- Phone
- (919) 369-5394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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