Organization
RASS LLC
Active
Other names
dba Residential & Supportive Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THOMASINA W WILLIAMS (ADMINISTRATOR)
(910) 293-4919
Entity
Organization
Contact information
Practice address
206 N FRONT ST, WARSAW, NC 28398-1833
(910) 293-4919
(910) 293-4533
Mailing address
PO BOX 586, WARSAW, NC 28398-0586
(910) 293-4919
(910) 293-4533
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NC
172V00000X
Community Health Worker
—
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL031021
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL031018
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408706
—
NC
05
—
8301140
—
NC
05
—
8301239
—
NC
05
—
8301860
—
NC
Enumeration date
10/13/2006
Last updated
06/24/2009
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