Organization · Type 2 NPI

Carolina Residential Services, Inc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Statesville, NC

NPI number 1811030463 Active

Practice location

730 N Mulberry St
Statesville, NC 28677-3233

Fax (704) 873-4458

Mailing address

PO Box 286
Rutherford College, NC 28671-0286

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Adult Care Home Facility 311ZA0620XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XMHL-049-064 (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.

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About NPI 1811030463

Carolina Residential Services, Inc's National Provider Identifier is 1811030463, 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 Statesville, NC. The record was last updated on Jul 20, 2013.