| Carolina Residential Services, Inc. | |
|
247 Commercial Ct Ne Lenoir NC 28645-4451 | |
| (828) 572-2333 | |
| (980) 225-0500 |
| Full Name | Carolina Residential Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 247 Commercial Ct Ne, Lenoir, 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 |
|---|---|
| Carolina Residential Services, Inc. Po Box 286 Rutherford College NC 28671-0286 Ph: (828) 572-2333 | Carolina Residential Services, Inc. 247 Commercial Ct Ne Lenoir NC 28645-4451 Ph: (828) 572-2333 |
| NPI Number | 1205979747 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205979747 | NPI | - | NPPES |
| 8303430S | Medicaid | NC | |
| 8301038S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-014-009 (North Carolina) | Primary |
| 311ZA0620X | Custodial Care Facility - Adult Care Home | (* (Not Available)) | Secondary |
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