Organization
RESIDENTIAL SUPPORT SERVICES OF WAKE COUNTY, INC.
Active
Organization
RESIDENTIAL SUPPORT SERVICES OF WAKE COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MURRAY (EXECUTIVE ASSISTANT)
(919) 787-1214
Entity
Organization
Contact information
Practice address
408 HAILEY DR, RALEIGH, NC 27606-2429
(919) 787-1214
(919) 787-3416
Mailing address
PO BOX 98476, RALEIGH, NC 27624-8476
(919) 787-1214
(919) 787-3416
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-092-473
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418153
—
NC
05
—
7804508
—
NC
05
—
7804509
—
NC
05
—
7804510
—
NC
05
—
8300856
—
NC
05
—
8300856B
—
NC
05
—
8702203
—
NC
Enumeration date
07/30/2013
Last updated
07/30/2013
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