Organization
IRENE WORTHAM RESIDENTIAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R. MATTHEW HENRY (PRESIDENT & CEO)
(828) 274-7518
Entity
Organization
Contact information
Practice address
1 ROSE ST W, ASHEVILLE, NC 28803-2857
(828) 274-7518
(828) 274-1582
Mailing address
916 WEST CHAPEL ROAD,, ASHEVILLE, NC 28803-2844
(828) 274-7518
(828) 274-1582
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MHL-011-022
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406413
—
NC
Enumeration date
02/19/2007
Last updated
07/14/2021
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