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Organization

J. IVERSON RIDDLE DEVELOPMENT CENTER

Active
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Organization

J. IVERSON RIDDLE DEVELOPMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN BURKES (DIVISION DIRECTOR - DSOHF)
(919) 855-4700
Entity
Organization

Contact information

Practice address
300 ENOLA RD, MORGANTON, NC 28655
(828) 433-2722
(828) 433-2724
Mailing address
300 ENOLA RD, MORGANTON, NC 28655-4608
(828) 433-2722
(828) 433-2724

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408134
NC
Enumeration date
04/23/2007
Last updated
02/10/2025
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