Organization
CAROLINA RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK WILSON (DIRECTOR OF OPERATIONS)
(919) 662-7731
Entity
Organization
Contact information
Practice address
126 COMMERCIAL RD, AHOSKIE, NC 27910-9469
(252) 332-5709
Mailing address
1202 BENSON RD, GARNER, NC 27529-4648
(919) 662-7731
(919) 662-7879
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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