Organization
ROSE'S CASTLE RESIDENTIAL SERVICES, INC.
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALONZO YATES (OWNER)
(919) 680-4637
Entity
Organization
Contact information
Practice address
505 COOK RD, DURHAM, NC 27713-1152
(919) 680-4637
(919) 680-4637
Mailing address
505 COOK RD, DURHAM, NC 27713-1152
(919) 680-4637
(919) 680-4637
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL032371
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805584
—
NC
Enumeration date
05/31/2007
Last updated
08/22/2020
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