| Upscale Residential Care, Inc. | |
|
302 Limestone Rd. Hwy 50 Kenansville NC 28349-9020 | |
| (910) 296-0310 | |
| (910) 525-4963 |
| Full Name | Upscale Residential Care, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 302 Limestone Rd., Kenansville, North Carolina |
| Authorized Official Name and Position | Vendia Currie (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9102960310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upscale Residential Care, Inc. Po Box 708 Kenansville NC 28349-0708 Ph: (910) 296-0310 | Upscale Residential Care, Inc. 302 Limestone Rd. Hwy 50 Kenansville NC 28349-9020 Ph: (910) 296-0310 |
| NPI Number | 1710056783 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 11/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710056783 | NPI | - | NPPES |
| 8301030 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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