| Dba Residential & Supportive Services | |
|
206 N Front St Warsaw NC 28398-1833 | |
| (910) 293-4919 | |
| (910) 293-4533 |
| Full Name | Dba Residential & Supportive Services |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 206 N Front St, Warsaw, North Carolina |
| Authorized Official Name and Position | Thomasina W Williams (ADMINISTRATOR) |
| Authorized Official Contact | 9102934919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Residential & Supportive Services Po Box 586 Warsaw NC 28398-0586 Ph: (910) 293-4919 | Dba Residential & Supportive Services 206 N Front St Warsaw NC 28398-1833 Ph: (910) 293-4919 |
| NPI Number | 1871683300 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 06/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871683300 | NPI | - | NPPES |
| 3408706 | Medicaid | NC | |
| 8301860 | Medicaid | NC | |
| 8301239 | Medicaid | NC | |
| 8301140 | Medicaid | NC |
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