Individual provider · Type 1 NPI

Katrina Renea Spencer

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Knightdale, NC

NPI number 1609716687 Active

Practice location

1130 Cannonball Run Apt 101
Knightdale, NC 27545-6658

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000XNone listed
Respite Care 385H00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

About NPI 1609716687

Katrina Renea Spencer's National Provider Identifier is 1609716687, issued on Mar 30, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Knightdale, NC. The record was last updated on Mar 30, 2026.