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Organization

DUTCHESS RESIDENTIAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA TILLER (AUTHORIZED ADMINISTRTIVE OFFICIAL)
(919) 986-6565
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
01/21/2014
Last updated
01/21/2014
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