Organization
DIRECTCARE COMMUNITY BASE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRANCE TODD ROBERTS B.S. (OPERATION MANAGER)
(828) 305-4330
Entity
Organization
Contact information
Practice address
668 WITHROW RD, FOREST CITY, NC 28043-9695
(828) 305-4330
Mailing address
PO BOX 261, CROUSE, NC 28033-0261
(828) 305-4330
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418523
—
NC
Enumeration date
07/31/2008
Last updated
03/19/2019
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