Organization · Type 2 NPI

East Coast Residential Innovations

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

NPI number 1184528945 Active

Practice location

105 Persimmon Ct
Jacksonville, NC 28546-8258

Call (910) 750-2202 Map

Mailing address

PO Box 12342
Jacksonville, NC 28546-2342

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XNone listed
Physical Disabilities Residential Treatment Facility 320700000XNone listed
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 1184528945

East Coast Residential Innovations's National Provider Identifier is 1184528945, issued on Oct 6, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jacksonville, NC. The record was last updated on Oct 6, 2026.