Organization · Type 2 NPI
Quest Provider Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Grover, NC
Practice location
1106 Cleveland Ave
Grover, NC 28073-9727
Mailing address
2329 E Wt Harris Blvd
Charlotte, NC 28213-5186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
About NPI 1356892053
Quest Provider Services's National Provider Identifier is 1356892053, issued on Oct 18, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Grover, NC. The record was last updated on Oct 18, 2016.