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Organization
RESIDENTIAL SERVICES, INC.
Active
Organization
RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A KELLER (EXECUTIVE DIRECTOR)
(919) 942-7391
Entity
Organization
Contact information
Practice address
106 ABERDEEN CT, CARRBORO, NC 27510-1218
(919) 967-9531
Mailing address
111 PROVIDENCE RD, CHAPEL HILL, NC 27514-2229
(919) 942-7391
(919) 933-4490
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-068-093
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340603P
—
NC
05
—
340610U
—
NC
05
—
3406331
—
NC
05
—
3406356
—
NC
05
—
3406482
—
NC
05
—
3406544
—
NC
05
—
3408164
—
NC
05
—
7804543
—
NC
05
—
7804544
—
NC
05
—
7804545
—
NC
05
—
7804546
—
NC
05
—
7804547
—
NC
05
—
7804548
—
NC
05
—
7804896
—
NC
05
—
7805754
—
NC
05
—
7806030
—
NC
05
—
7806709
—
NC
05
—
8300572
—
NC
Enumeration date
09/25/2014
Last updated
09/25/2014
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