Carolina Residential Services, Inc. in Wallace - Community Based Residential Treatment Facility, Mental Illness
Carolina Residential Services, Inc. - NPI 1770705956
Carolina Residential Services, Inc. is a Community Based Residential Treatment Facility, Mental Illness in Wallace, North Carolina. Carolina Residential Services, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Carolina Residential Services, Inc. is 1770705956. The last update date is 2013-06-12.
Carolina Residential Services, Inc.'s current location address is 314 East Westbrook Street, Wallace, North Carolina. You can contact this provider via phone number 9102855319 and fax number 9102855438. The mailing address for Carolina Residential Services, Inc. is 314 East Westbrook Street, Wallace, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carolina Residential Services, Inc. |
|---|---|
| Address | 314 East Westbrook Street, Wallace, North Carolina |
| Phone Number | 9102855319 |
| Fax Number | 9102855438 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Kincaid M Susan |
| Telephone Number | 8285722333 |
NPI Number Detail
| NPI Number | 1770705956 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2013-06-12 |
Provider Mailing Address Detail
| Address | 314 East Westbrook Street |
|---|---|
| City | Wallace |
| State | North Carolina (NC) |
| Post Code | 284661533 |
| Phone Number | 9102855319 |
| Fax Number | 9102855438 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | MHL 031063 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7805778 | NC | -- | |
| 7806594 | NC | -- |
Post Comment/ Review Below
What is the unique 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) 1770705956. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Carolina Residential Services, Inc.?
The Carolina Residential Services, Inc. is situated at 314 East Westbrook Street, in the city of Wallace, state of NC, with the zip code 284661533.
What is Carolina Residential Services, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Carolina Residential Services, Inc.'s area of specialization is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this field of practice is 320800000X.
When did the Carolina Residential Services, Inc. receive its 1770705956?
The Carolina Residential Services, Inc. was issued its 1770705956 on 2007-05-03, which is the date when the organization was assigned this unique identifier.
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 2013-06-12.