| Carolina Residential Services, Inc | |
|
324 Pine Valley Rd Jacksonville NC 28546-7784 | |
| (910) 353-1415 | |
| (910) 353-1415 |
| Full Name | Carolina Residential Services, Inc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 324 Pine Valley Rd, Jacksonville, North Carolina |
| Authorized Official Name and Position | Susan M Kincaid (DIRECTOR) |
| Authorized Official Contact | 8285722333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Residential Services, Inc Po Box 286 Rutherford College NC 28671-0286 Ph: (828) 572-2333 | Carolina Residential Services, Inc 324 Pine Valley Rd Jacksonville NC 28546-7784 Ph: (910) 353-1415 |
| NPI Number | 1588707236 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 07/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588707236 | NPI | - | NPPES |
| 7804291 | Medicaid | NC | |
| 7806596 | Medicaid | NC |
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