Organization
R.J. WHITSETT RESIDENTIAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN WHITSETT CRITE (OWNER)
(336) 215-5900
Entity
Organization
Contact information
Practice address
4227-G YANCEYVILLE RD., BROWNS SUMMIT, NC 27214
(336) 215-5900
(336) 656-9203
Mailing address
PO BOX 482, BROWNS SUMMIT, NC 27214-0482
(336) 215-5900
(336) 656-9203
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-041-642
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418000
—
NC
Enumeration date
06/04/2007
Last updated
08/22/2020
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