Organization
CONTINUUM RESIDENTIAL SERVICES, LLC
Active
Other names
Continuum Residential Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARYJO NABORS (EXECUTIVE DIRECTOR)
(864) 871-0406
Entity
Organization
Contact information
Practice address
34295 DAYBREAK DR, CALLAHAN, FL 32011-3277
(864) 871-0406
Mailing address
34295 DAYBREAK DR, CALLAHAN, FL 32011-3277
(864) 871-0406
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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