Organization Name: | JOHNSON BETTER CARE FACILITY, INC. |
NPI Number: | 1184808594 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERRY JOHNSON (OWNER) |
Mailing Address: | 3485 Us 301 N Dunn |
State: | NC US |
Postal Code: | 28335 |
Phone Number: | 9108921155 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2007 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | HAL043003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |