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Organization

AMERICARE DEVELOPMENTAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANIS WATKINS MPA (CEO)
(704) 506-6888
Entity
Organization

Contact information

Practice address
6120 CARRIAGE OAKS DR, CHARLOTTE, NC 28262-3253
(704) 506-6888
(704) 378-0363
Mailing address
PO BOX 217125, CHARLOTTE, NC 28221-0125
(704) 506-6888
(704) 378-0363

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6603747
NC
05
6604421
NC
Enumeration date
01/23/2007
Last updated
06/23/2011
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