Organization · Type 2 NPI
Residential Services at Revere, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hillsborough, NC
Practice location
516A Revere Rd
Hillsborough, NC 27278
Mailing address
4511 Nc Highway 86 N
Hillsborough, NC 27278-9250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 068151 (NC) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1003197609
Residential Services at Revere, LLC's National Provider Identifier is 1003197609, issued on Sep 9, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hillsborough, NC. The record was last updated on Sep 9, 2011.