| Upscale Residential Care, Incorporated | |
|
302 Limestone Road Kenansville NC 28349-0000 | |
| (910) 868-6819 | |
| (910) 296-0488 |
| Full Name | Upscale Residential Care, Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 302 Limestone Road, Kenansville, North Carolina |
| Authorized Official Name and Position | Vendia Currie (OWNER/MANAGER) |
| Authorized Official Contact | 9103361693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upscale Residential Care, Incorporated 2154 Sutton Hooten Ln La Grange NC 28551-8252 Ph: (252) 566-3298 | Upscale Residential Care, Incorporated 302 Limestone Road Kenansville NC 28349-0000 Ph: (910) 868-6819 |
| NPI Number | 1053638593 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 04/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053638593 | NPI | - | NPPES |
| 10448 | Other | NC | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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