Organization
DIVERSIFIED SERVICES OF NC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DRUCELLA ROBERTS (AGENCY DIRECTOR)
(919) 600-4858
Entity
Organization
Contact information
Practice address
255 ADAMS POINT DR, GARNER, NC 27529
(919) 600-4858
Mailing address
255 ADAMS POINT DR, GARNER, NC 27529-6507
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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