Organization · Type 2 NPI

Etta's Residential Services and Supports, Inc.

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

NPI number 1932371135 Active

Practice location

4833 Tolley Ct
Raleigh, NC 27616-7827

Call (919) 599-1636 Map

Fax (919) 720-4818

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XMHL-092-705 (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 1932371135

Etta's Residential Services and Supports, Inc.'s National Provider Identifier is 1932371135, issued on Mar 27, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Raleigh, NC. The record was last updated on Mar 27, 2008.