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Supreme Residential Care, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Durham, North Carolina
NPI 1245013580

Supreme Residential Care, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Durham, NC. Supreme Residential Care, Llc practices in Durham, NC. The NPI Number for Supreme Residential Care, Llc is 1245013580 and holds a License No. (North Carolina).

The current practice location address for Supreme Residential Care, Llc is 315 Roche Dr, Durham, NC and can be reached out via phone at 919-482-8299.

Location: 315 Roche Dr, Durham, NC, 27703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245013580
Provider Name
Supreme Residential Care, Llc
Credential
Provider Entity Type
Organization
Address
315 Roche Dr, Durham, NC, 27703
Phone Number
919-482-8299
Fax Number
Provider Enumeration Date
08/18/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
315 Roche Dr
City
Durham
State
North Carolina
Zip
27703
Phone Number
919-482-8299
Fax Number
person
Provider Business Mailing Address Details
Address
315 Roche Dr
City
Durham
State
North Carolina
Zip
27703
Phone Number
919-482-8299
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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