MEDICARE: HOWELL SUPPORT SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	MHL-065-150	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750432662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWELL SUPPORT SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 10946
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27532-0946
Country	:	US
Telephone Number	:	919-778-1506
Fax Number	:	919-778-1535

Provider Business Practice Location Address
First Line	:	106C CINEMA DR
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-1490
Country	:	US
Telephone Number	:	910-362-0833
Fax Number	:	910-362-0835

Authorized Official
Title or Position	:	CEO
Name	:	MISS JERALD HOWELL
Credential	:
Telephone Number	:	919-778-1506

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	08/22/2020

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