Organization · Type 2 NPI
Irene Wortham Residential Center, Inc.
Intellectual Disabilities Intermediate Care Facility · Asheville, NC
NPI number
1457496010
Active
Practice location
2 Rose St W
Asheville, NC 28803-2856
Fax (828) 274-1582
Mailing address
916 W Chapel Rd
Asheville, NC 28803-2844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | MHL-011-108 (NC) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1457496010
Irene Wortham Residential Center, Inc.'s National Provider Identifier is 1457496010, issued on Feb 21, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Asheville, NC. The record was last updated on Jul 14, 2021.