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Bethel Provider Services Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Browns Summit, North Carolina
NPI 1316275225

Bethel Provider Services Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Gibsonville, NC. Bethel Provider Services Inc practices in Browns Summit, NC. The NPI Number for Bethel Provider Services Inc is 1316275225 and holds a License No. MHL041931 (North Carolina).

The current practice location address for Bethel Provider Services Inc is 5204 Carriage Woods Dr, Browns Summit, NC and can be reached out via phone at 336-340-4124 and via fax at 336-617-0567.

Location: 5204 Carriage Woods Dr, Browns Summit, NC, 27249-9628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316275225
Provider Name
Bethel Provider Services Inc
Credential
Provider Entity Type
Organization
Address
5204 Carriage Woods Dr, Browns Summit, NC, 27249-9628
Phone Number
336-340-4124
Fax Number
336-617-0567
Provider Enumeration Date
12/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5204 Carriage Woods Dr
City
Browns Summit
State
North Carolina
Zip
27214-9459
Phone Number
336-340-4124
Fax Number
336-617-0567
person
Provider Business Mailing Address Details
Address
5204 Carriage Woods Dr
City
Browns Summit
State
North Carolina
Zip
27214-9459
Phone Number
336-340-4124
Fax Number
336-617-0567
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.
MHL041931 (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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