Organization
CHOICE COMMUNITY LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANDRA JONES ROSS (OWNER/OPERATIONS MANAGER)
(919) 801-4247
Entity
Organization
Contact information
Practice address
1037 WHETSTONE CT, RALEIGH, NC 27615-5827
(919) 801-4247
Mailing address
7719 FALCON REST CIR, RALEIGH, NC 27615-2561
(919) 801-4247
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/10/2010
Last updated
02/14/2011
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