Organization · Type 2 NPI
Carolina Residential Services, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Statesville, NC
Practice location
804 Hunter St
Statesville, NC 28677-3530
Fax (704) 873-9502
Mailing address
PO Box 286
Rutherford College, NC 28671-0286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | MHL-049-063 (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 1265575971
Carolina Residential Services, Inc's National Provider Identifier is 1265575971, issued on Feb 14, 2007. 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 Jul 20, 2013.