Organization
CASWELL DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BURKES (DIVISION DIRECTOR)
(919) 855-4700
Entity
Organization
Contact information
Practice address
2415 W VERNON AVE, KINSTON, NC 28504
(252) 208-4270
(252) 208-4170
Mailing address
2415 W VERNON AVE, KINSTON, NC 28504-3337
(252) 208-4270
(252) 208-4170
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406105
—
NC
Enumeration date
04/20/2007
Last updated
10/17/2024
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