Provider Demographics
NPI:1093922387
Name:LENOIR COUNTY DEPARTMENT OF SOCIAL SERVICES
Entity Type:Organization
Organization Name:LENOIR COUNTY DEPARTMENT OF SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:B
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-559-6400
Mailing Address - Street 1:130 W KING ST
Mailing Address - Street 2:PO BOX 6
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-4830
Mailing Address - Country:US
Mailing Address - Phone:252-559-6400
Mailing Address - Fax:252-559-6380
Practice Address - Street 1:130 W KING ST
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-0006
Practice Address - Country:US
Practice Address - Phone:252-559-6400
Practice Address - Fax:252-559-6380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8700027Medicaid