Organization · Type 2 NPI

Southeastern Residential Services of NC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Raleigh, NC

NPI number 1033359609 Active

Practice location

4811 River Stream Way, 204
Raleigh, NC 27616-6583

Call (919) 850-3368 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X320600000X (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1033359609

Southeastern Residential Services of NC's National Provider Identifier is 1033359609, issued on Feb 23, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Raleigh, NC. The record was last updated on Feb 23, 2009.