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Organization

CAROLINA RESIDENTIAL SERVICES, INC

Active
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Organization

CAROLINA RESIDENTIAL SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN M KINCAID (DIRECTOR)
(828) 572-2333
Entity
Organization

Contact information

Practice address
1691 OLD BUFFALO FORD RD, ASHEBORO, NC 27205-7893
(336) 879-8587
(336) 636-6403
Mailing address
PO BOX 286, RUTHERFORD COLLEGE, NC 28671-0286
(828) 572-2333
(980) 225-0500

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7804135
NC
Enumeration date
02/15/2007
Last updated
10/31/2009
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