Carolina Residential Services, Inc | |
310 Burke Dr Morganton NC 28655-5395 | |
(828) 438-6284 | |
(828) 438-6276 |
Full Name | Carolina Residential Services, Inc |
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Speciality | Community/behavioral Health |
Location | 310 Burke Dr, Morganton, 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 310 Burke Dr Morganton NC 28655-5395 Ph: (828) 438-6284 |
NPI Number | 1063555886 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 11/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063555886 | NPI | - | NPPES |
8301036S | Medicaid | NC | |
8303427S | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MHL-012-010 (North Carolina) | Primary |
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