| Carolina Residential Services, Inc | |
|
144-b Community College Road Ahoskie NC 27910-8047 | |
| (252) 332-8553 | |
| (252) 332-8553 |
| Full Name | Carolina Residential Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 144-b Community College Road, Ahoskie, North Carolina |
| Authorized Official Name and Position | Susan Kincaid (DIRECTOR) |
| Authorized Official Contact | 8285722333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Residential Services, Inc Po Box 286 Rutherford College NC 28671-0286 Ph: (828) 572-2333 | Carolina Residential Services, Inc 144-b Community College Road Ahoskie NC 27910-8047 Ph: (252) 332-8553 |
| NPI Number | 1043353550 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 10/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043353550 | NPI | - | NPPES |
| 8300936S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-046-023 (North Carolina) | Primary |
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