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
PO BOX 849, BURNSVILLE, NC 28714-0849
(828) 682-4944
(828) 682-9813
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL100-013
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408878
—
NC
Enumeration date
12/28/2007
Last updated
12/28/2007
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