Organization
KEYAHS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE STACKHOUSE (OWNER)
(910) 261-3633
Entity
Organization
Contact information
Practice address
217 PIKE PL, FAYETTEVILLE, NC 28306-9019
(910) 261-3633
Mailing address
2920 EASTOVER NORTH DR, FAYETTEVILLE, NC 28312-6707
(910) 261-3633
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/15/2024
Last updated
12/05/2025
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