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Residential Services At Revere, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hillsborough, North Carolina
NPI 1003197609

Residential Services At Revere, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Hillsborough, NC. Residential Services At Revere, Llc practices in Hillsborough, NC. The NPI Number for Residential Services At Revere, Llc is 1003197609 and holds a License No. 068151 (North Carolina).

The current practice location address for Residential Services At Revere, Llc is 516A Revere Rd, Hillsborough, NC and can be reached out via phone at 919-241-4474.

Location: 516A Revere Rd, Hillsborough, NC, 27278-9250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003197609
Provider Name
Residential Services At Revere, Llc
Credential
Provider Entity Type
Organization
Address
516A Revere Rd, Hillsborough, NC, 27278-9250
Phone Number
919-241-4474
Fax Number
Provider Enumeration Date
09/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
516A Revere Rd
City
Hillsborough
State
North Carolina
Zip
27278
Phone Number
919-241-4474
Fax Number
person
Provider Business Mailing Address Details
Address
516A Revere Rd
City
Hillsborough
State
North Carolina
Zip
27278
Phone Number
919-241-4474
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
068151 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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