Organization · Type 2 NPI
Phoenix Residential Care
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wingate, NC
Practice location
5003 Hwy 74 East
Wingate, NC 28174
Mailing address
6605 E Marshville Blvd
Marshville, NC 28103-1199
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 1437967700
Phoenix Residential Care's National Provider Identifier is 1437967700, issued on Dec 19, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Wingate, NC. The record was last updated on Dec 19, 2024.