Organization
MARTIN COUNTY RESIDENTIAL SERVICES INC.
Active
Other names
Martin Enterprises
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY RENN (EXECUTIVE DIRECTOR)
(252) 792-8251
Entity
Organization
Contact information
Practice address
6003 WEST MAIN STREET, WILLIAMSTON, NC 27892
(252) 792-8251
(252) 792-5283
Mailing address
PO BOX 1042, WILLIAMSTON, NC 27892-1042
(252) 792-8251
(252) 792-5283
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
MHL058002
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL058003
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL058004
NC
373H00000X
Day Training/Habilitation Specialist
MHL058002
NC
376J00000X
Homemaker
MHL058004
NC
376J00000X
Homemaker
MHLO58003
NC
Other
Enumeration date
02/07/2007
Last updated
07/28/2008
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