Carolina Residential Services, Inc in Goldsboro - Community/behavioral Health
Carolina Residential Services, Inc - NPI 1770626574
Carolina Residential Services, Inc is a Community/behavioral Health in Goldsboro, North Carolina. Carolina Residential Services, Inc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Carolina Residential Services, Inc is 1770626574. The last update date is 2016-08-08.
Carolina Residential Services, Inc's current location address is 1201 Wayne Memorial Dr, Goldsboro, North Carolina. You can contact this provider via phone number 9195800020 and fax number 9195800026. The mailing address for Carolina Residential Services, Inc is 1201 Wayne Memorial Dr, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carolina Residential Services, Inc |
|---|---|
| Address | 1201 Wayne Memorial Dr, Goldsboro, North Carolina |
| Phone Number | 9195800020 |
| Fax Number | 9195800026 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Kincaid M Susan |
| Telephone Number | 8285722333 |
NPI Number Detail
| NPI Number | 1770626574 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2016-08-08 |
Provider Mailing Address Detail
| Address | 1201 Wayne Memorial Dr |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275342270 |
| Phone Number | 9195800020 |
| Fax Number | 9195800026 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | MHL-096-005 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8301224S | NC | -- | |
| 8303429S | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carolina Residential Services, Inc by the Centers for Medicare & Medicaid Services?
The Carolina Residential Services, Inc has been issued the NPI (National Provider Identifier) 1770626574, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Carolina Residential Services, Inc is geographically located?
The Carolina Residential Services, Inc is physically situated at the following location: 1201 Wayne Memorial Dr, Goldsboro, NC, 275342270.
What is the Carolina Residential Services, Inc's specialty and taxonomy code?
The Carolina Residential Services, Inc's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770626574 to Carolina Residential Services, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1770626574 to Carolina Residential Services, Inc on 2007-02-14.
As of what date were the Carolina Residential Services, Inc's details last updated?
The information pertaining to the Carolina Residential Services, Inc, including its address, specialty, and other details, was most recently updated on 2016-08-08.