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Carolina Residential Services, INC.

Day Training, Developmentally Disabled Services in Ahoskie, NC. Organization (NPI-2).

NPI number1982805933
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1982805933
Entity type
Organization (NPI-2)
Legal business name
Carolina Residential Services, INC.
Organization subpart
No
Enumeration date
May 29, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes

Practice location

126 Commercial Rd
Ahoskie, NC 27910-9469

Phone 252-332-5709

Mailing address

1202 Benson Rd
Garner, NC 27529-4648

Phone 919-662-7731 · Fax 919-662-7879

Authorized official

Derek Wilson
Director Of Operations
9196627731

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