MEDICARE: YOUTH EMPOWERMENT OF JOHNSTON COUNTY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	347B00000X	Bus
3	347C00000X	Private Vehicle
4	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1962416305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUTH EMPOWERMENT OF JOHNSTON COUNTY, INC.

Provider Business Mailing Address
First Line	:	607 N WEBB ST
Second Line	:
City	:	SELMA
State	:	NC
Zip	:	27576-2659
Country	:	US
Telephone Number	:	919-965-6940
Fax Number	:	919-975-0339

Provider Business Practice Location Address
First Line	:	607 N WEBB ST
Second Line	:
City	:	SELMA
State	:	NC
Zip	:	27576-2659
Country	:	US
Telephone Number	:	919-965-6940
Fax Number	:	919-975-0339

Authorized Official
Title or Position	:	CEO
Name	:	BEVERLY RENE' ROWLAND
Credential	:
Telephone Number	:	919-965-6940

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	09/11/2025

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