Organization
UNITED REHABILITATION SERVICES, INC
Active
Parent organization
UNITED REHABILITATION SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED REHABILITATION SERVICES, INC.
Authorized official
MR. ALEXANDER BASS (ADMINISTRATOR)
(919) 285-5494
Entity
Organization
Contact information
Practice address
505 S MAGNOLIA AVE, DUNN, NC 28334-5822
(919) 285-5494
Mailing address
1101 CRYSTALWATER DR, FUQUAY VARINA, NC 27526-5238
(919) 285-5494
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-043-088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303085S
—
NC
Enumeration date
11/09/2011
Last updated
11/09/2011
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