# KD SUPPORT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kellys Care 3
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043671613
- **Authorized official:** MR. KENNETH DELLINGER BS;QP (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (828) 245-4011

## Contact information

- **Practice address:** 133 KEETER RD., MOORESBORO, NC 28114
- **Practice address phone:** (828) 286-0596
- **Practice address fax:** (828) 245-4099
- **Mailing address:** 158 US HIGHWAY 221A, FOREST CITY, NC 28043-5600
- **Mailing address phone:** (828) 245-4011
- **Mailing address fax:** (828) 245-4099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-081-094 | NC | Yes |

## Other

- **Enumeration date:** 03/10/2016
- **Last updated:** 03/10/2016