Carolina Residential Services, Inc. | |
534 Elk Spur St Elkin NC 28621-3206 | |
(336) 835-1101 | |
(336) 835-1101 |
Full Name | Carolina Residential Services, Inc. |
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Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
Location | 534 Elk Spur St, Elkin, North Carolina |
Authorized Official Name and Position | Susan M Kincaid (DIRECTOR) |
Authorized Official Contact | 8285722333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Carolina Residential Services, Inc. Po Box 286 Rutherford College NC 28671-0286 Ph: (828) 572-2333 | Carolina Residential Services, Inc. 534 Elk Spur St Elkin NC 28621-3206 Ph: (336) 835-1101 |
NPI Number | 1063544518 |
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Provider Enumeration Date | 03/11/2007 |
Last Update Date | 07/20/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063544518 | NPI | - | NPPES |
7806599 | Medicaid | NC | |
7805081 | Medicaid | NC |
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