Organization
RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS BRADSHAW (EXECUTIVE DIRECTOR)
(919) 942-7391
Entity
Organization
Contact information
Practice address
901 SHADY LAWN ROAD EXT, CHAPEL HILL, NC 27514-2015
(919) 933-4335
Mailing address
111 PROVIDENCE RD, CHAPEL HILL, NC 27514-2229
(919) 942-7391
(919) 933-4490
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340603P
—
NC
Enumeration date
01/24/2007
Last updated
08/22/2020
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