Organization · Type 2 NPI
Carolina Residential Services, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Eure, NC
Practice location
259 Taylor Mill Road
Eure, NC 27935-9613
Fax (252) 357-4216
Mailing address
PO Box 286
Rutherford College, NC 28671-0286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | MHL-037-002 (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.
About NPI 1295878700
Carolina Residential Services, Inc's National Provider Identifier is 1295878700, 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 Eure, NC. The record was last updated on Nov 1, 2009.