Organization · NPI-2

Brown Residential Support Services INC

Custodial Care Facility, Adult Care Home · Charlotte, NC

NPI number1740430388
StatusActive
Last updated in NPPESSep 19, 2008

Details

NPI
1740430388
Entity type
Organization (NPI-2)
Legal business name
Brown Residential Support Services INC
Organization subpart
No
Enumeration date
Sep 19, 2008
Last updated
Sep 19, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home––Yes

Practice location

5523 Windy Valley Dr
Charlotte, NC 28208-1191

Phone 704-391-5588 · Fax 704-391-5588

Mailing address

5523 Windy Valley Dr
Charlotte, NC 28208-1191

Phone 704-391-5588 · Fax 704-391-5588

Authorized official

Anthony C Brown
Ceo/Executive Director
7043915588

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