Organization
UNION COUNTY RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE STANALAND (EXECUTIVE DIRECTOR)
(704) 283-1400
Entity
Organization
Contact information
Practice address
2021 CAMDEN RD, WINGATE, NC 28174-8796
(704) 624-6500
(704) 283-7703
Mailing address
PO BOX 946, MONROE, NC 28111-0946
(704) 283-1400
(704) 283-7703
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-090-128
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-090-129
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408933
—
NC
05
—
7804515
—
NC
05
—
7804516
—
NC
Enumeration date
11/01/2006
Last updated
07/29/2013
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