Organization · Type 2 NPI

Martin County Residential Services Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Williamston, NC

NPI number 1124168141 Active

Practice location

6003 West Main Street
Williamston, NC 27892

Fax (252) 792-5283

Mailing address

PO Box 1042
Williamston, NC 27892-1042

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XMHL058002 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XMHL058003 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XMHL058004 (NC)
Day Training/Habilitation Specialist 373H00000XMHL058002 (NC)
Homemaker 376J00000XMHLO58003 (NC)
Homemaker 376J00000XMHL058004 (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.

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About NPI 1124168141

Martin County Residential Services Inc.'s National Provider Identifier is 1124168141, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Williamston, NC. The record was last updated on Jul 28, 2008.