Organization · Type 2 NPI

Quest Provider Services

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

NPI number 1164973483 Active

Practice location

344 Wilson St
Statesville, NC 28677-3860

Call (704) 537-4730 Map

Mailing address

2329 E Wt Harris Blvd
Charlotte, NC 28213-5186

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

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 1164973483

Quest Provider Services's National Provider Identifier is 1164973483, issued on Oct 21, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Statesville, NC. The record was last updated on Oct 21, 2016.