Organization
R. BYRD COMMUNITY CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BYRD (OWNER)
(336) 510-8761
Entity
Organization
Contact information
Practice address
220 SHADOWLAWN DR, JAMESTOWN, NC 27282-9623
(336) 510-8761
(336) 510-7276
Mailing address
220 SHADOWLAWN DR, JAMESTOWN, NC 27282-9623
(336) 510-8761
(336) 510-7276
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409346
—
NC
Enumeration date
02/08/2007
Last updated
05/08/2008
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