Organization · Type 2 NPI
The Door of Life Residential Services
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cameron, NC
Practice location
227 Constitution Way
Cameron, NC 28326-9296
Mailing address
1505 Bramber Pl
Conway, SC 29527-3177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL043069 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Another provider at this address
Other intellectual and/or developmental disabilities residential treatment facility providers in Cameron
About NPI 1285826503
The Door of Life Residential Services's National Provider Identifier is 1285826503, issued on Aug 10, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Cameron, NC. The record was last updated on Aug 10, 2007.