Organization
UNITED RESIDENTIAL SERVICES OF N.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIN LEE MCNEILL (FACILITY DIRECTOR)
(910) 583-1104
Entity
Organization
Contact information
Practice address
6503 KEMPER CT, FAYETTEVILLE, NC 28303-2354
(910) 583-1104
(910) 630-1104
Mailing address
PO BOX 25928, FAYETTEVILLE, NC 28314-5015
(910) 583-1104
(910) 630-1104
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
026-694
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
047-068
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418061
—
NC
Enumeration date
01/31/2007
Last updated
04/23/2009
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