Organization
CAROLINA RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MCCORKLE KINCAID (DIRECTOR)
(828) 413-3786
Entity
Organization
Contact information
Practice address
160 RIVER RD, BOONVILLE, NC 27011-8338
(336) 551-4045
Mailing address
PO BOX 286, RUTHERFORD COLLEGE, NC 28671-0286
(828) 572-2333
(980) 225-0500
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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