Organization
CAROLINA RESIDENTIAL CARE, INC.
Active
Organization
CAROLINA RESIDENTIAL CARE, INC.
Active
Other names
Hillcrest House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL MCKEITHAN WHITLEY (OWNER & DIRECTOR)
(336) 272-4037
Entity
Organization
Contact information
Practice address
1505 W FRIENDLY AVE, GREENSBORO, NC 27403-1206
(336) 273-1782
(336) 273-3684
Mailing address
1505 W FRIENDLY AVE, GREENSBORO, NC 27403-1206
(336) 273-1782
(336) 273-3684
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-041-057
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408872
—
NC
Enumeration date
10/03/2006
Last updated
02/27/2012
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