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Autism Services Of Mecklenburg County, Inc.
Intellectual Disabilities Intermediate Care Facility in Charlotte, North Carolina
NPI 1063764702

Autism Services Of Mecklenburg County, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Charlotte, NC. Autism Services Of Mecklenburg County, Inc. practices in Charlotte, NC. The NPI Number for Autism Services Of Mecklenburg County, Inc. is 1063764702 and holds a License No. MHL-060-514 (North Carolina).

The current practice location address for Autism Services Of Mecklenburg County, Inc. is 5917 Rowan Way, Charlotte, NC and can be reached out via phone at 704-391-5559 and via fax at 704-391-5560.

Location: 5917 Rowan Way, Charlotte, NC, 28208-3661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063764702
Provider Name
Autism Services Of Mecklenburg County, Inc.
Credential
Provider Entity Type
Organization
Address
5917 Rowan Way, Charlotte, NC, 28208-3661
Phone Number
704-391-5559
Fax Number
704-391-5560
Provider Enumeration Date
10/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406022 05 NC
institution
Provider Business Practice Location Address Details
Address
5917 Rowan Way
City
Charlotte
State
North Carolina
Zip
28214
Phone Number
704-391-5559
Fax Number
704-391-5560
person
Provider Business Mailing Address Details
Address
5917 Rowan Way
City
Charlotte
State
North Carolina
Zip
28214
Phone Number
704-391-5559
Fax Number
704-391-5560
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-060-514 (North Carolina)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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