Organization · Type 2 NPI
Piedmont Residential Development Center, Inc
Intellectual Disabilities Intermediate Care Facility · Concord, NC
NPI number
1174669261
Active
Practice location
630 Wilhelm Pl NE
Concord, NC 28025-2532
Fax (704) 788-2951
Mailing address
PO Box 909
Concord, NC 28026-0909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | MHL-013-019 (NC) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Concord
About NPI 1174669261
Piedmont Residential Development Center, Inc's National Provider Identifier is 1174669261, issued on Jan 29, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Concord, NC. The record was last updated on Aug 27, 2012.