Organization
K D SUPPORT SERVICES / KELLY'S CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN DELLINGER BS;QP (DIRECTOR OF OPERATIONS)
(828) 245-4011
Entity
Organization
Contact information
Practice address
158 US HIGHWAY 221A, FOREST CITY, NC 28043
(828) 245-4011
(828) 245-4099
Mailing address
467 W MAIN ST, FOREST CITY, NC 28043-2920
(828) 245-4011
(828) 245-4099
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/08/2007
Last updated
10/09/2019
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