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Carolina Residential Services, Inc

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Windsor, NC

NPI 1497898159 · NPPES record last updated Nov 1, 2009

Key facts

NPI
1497898159
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
MHL-008-002 (NC)
Legal business name
CAROLINA RESIDENTIAL SERVICES, INC
Practice address
301 W Camden St
Windsor, NC 27983-1828
Phone
(252) 794-6544
Fax
(252) 794-6544
NPI assigned
Feb 14, 2007
Organization subpart
No

Authorized official

Name
Ms. Susan M Kincaid
Title
Director
Phone
(828) 572-2333

Corporate family (same tax ID) 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

National Provider Directory

Tax ID family
Carolina Residential Services Inc (42 organizations share this tax ID)

Locations

301 W Camden St
Windsor, NC 27983
Phone (252) 794-6544

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-008-002 NC Yes

Addresses

Primary practice location

301 W Camden St
Windsor, NC 27983-1828

Mailing address

PO Box 286
Rutherford College, NC 28671-0286
Phone (828) 572-2333

Other identifiers

IdentifierTypeStateIssuer
7804226MedicaidNC

Other providers in Windsor, NC

All providers in Windsor, NC · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.