Organization · Type 2 NPI
Carolina Residential Services, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Swansboro, NC
Practice location
413 Glancy St
Swansboro, NC 28584-9656
Fax (910) 325-0740
Mailing address
PO Box 286
Rutherford College, NC 28671-0286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | MHL-067-103 (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 1497898183
Carolina Residential Services, Inc's National Provider Identifier is 1497898183, 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 Swansboro, NC. The record was last updated on Jul 20, 2013.