| Carolina Residential Services, Inc | |
|
247 Commercial Ct Ne Lenoir NC 28645-4451 | |
| (828) 413-3786 | |
| (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) 413-3786 |
| NPI Number | 1407999212 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 03/22/2023 |
| Certification Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407999212 | NPI | - | NPPES |
| 3419151 | Medicaid | NC | |
| 3409122 | Medicaid | NC |
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