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Organization

YANCEY RESIDENTIAL SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DOROTHY P. STYLES QDDP (EXECUTIVE DIRECTOR)
(828) 682-4944
Entity
Organization

Contact information

Practice address
35 CELO ST, BURNSVILLE, NC 28714-3008
(828) 682-4944
(828) 682-9813
Mailing address
35 CELO ST, BURNSVILLE, NC 28714-3008
(828) 682-4944
(828) 682-9813

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
MHL 100-014
NC
251S00000X
Community/Behavioral Health Agency
MHL 100-009
NC
251S00000X
Community/Behavioral Health Agency
MHL 100-013
NC
251S00000X
Community/Behavioral Health Agency
MHL 100-014
NC
311ZA0620X
Adult Care Home Facility
Primary
MH 100-009
NC
311ZA0620X
Adult Care Home Facility
MHL 100-013
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL 100-009
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL 100-013
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL 100-014
NC

Other

Enumeration date
02/13/2007
Last updated
07/22/2013
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