Organization · Type 2 NPI
Carolina Prime Residential LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Eden, NC
Practice location
315 Maple St
Eden, NC 27288-5513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Eden
About NPI 1215545348
Carolina Prime Residential LLC's National Provider Identifier is 1215545348, issued on Jul 15, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Eden, NC. The record was last updated on Apr 10, 2024.