Individual provider · Type 1 NPI
Khrystarra Bailey
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Salisbury, NC
Practice location
813 N Lee St
Salisbury, NC 28144-3641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | MHL080238 (NC) |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL080238 (NC) |
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.
Another provider at this address
About NPI 1922849173
Khrystarra Bailey's National Provider Identifier is 1922849173, issued on Jun 3, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Salisbury, NC. The record was last updated on Jun 3, 2024.