# DUTCHESS RESIDENTIAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083037436
- **Authorized official:** MRS. PATRICIA TILLER (AUTHORIZED ADMINISTRTIVE OFFICIAL)
- **Authorized official phone:** (919) 986-6565

## Contact information

- **Practice address:** 103 THENSIA CT, CARY, NC 27513-4251
- **Practice address phone:** (919) 521-8112
- **Mailing address:** 103 THENSIA CT, CARY, NC 27513-4251
- **Mailing address phone:** (919) 521-8112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-092-733 | NC | Yes |

## Other

- **Enumeration date:** 01/21/2014
- **Last updated:** 01/21/2014