# PHILLIPS RESIDENTIAL CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1831324284
- **Authorized official:** MR. RENNARD NONE HARRIS MS (OWNER)
- **Authorized official phone:** (404) 423-3129

## Contact information

- **Practice address:** 305 THURSTON DR W, WILSON, NC 27893-2854
- **Practice address phone:** (404) 423-3129
- **Mailing address:** PO BOX 1391, WILSON, NC 27894-1391
- **Mailing address phone:** (404) 423-3129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-098-131 | NC | Yes |

## Other

- **Enumeration date:** 05/28/2009
- **Last updated:** 05/28/2009