Organization
NEAL RESIDENTIAL SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN NEAL (OWNER)
(704) 858-2683
Entity
Organization
Contact information
Practice address
9826 AVIARY HILL WAY, CHARLOTTE, NC 28214-7138
(704) 858-2683
Mailing address
9826 AVIARY HILL WAY, CHARLOTTE, NC 28214-7138
(704) 858-2683
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NC
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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