OrganizationActive
Annascare
NPI 1760549703 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, NC
Provider details
- NPI number
- 1760549703
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Linda Gibson, Director(910) 455-6724
- License
- MHL067148 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense MHL067148 (NC)
Residential Treatment Facilities
Practice location
111 Tiffany Pl
Jacksonville, NC 28546-7821
Phone: (910) 455-6724
Approximate (ZIP-level) locationGet directions
Mailing address
342 Center St
Jacksonville, NC 28546-6726
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.