Organization
J. IVERSON RIDDLE 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
300 ENOLA RD, MORGANTON, NC 28655-4608
(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
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406014
—
NC
Enumeration date
04/25/2007
Last updated
10/17/2024
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