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Nicole St. Clair Services
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Roanoke Rapids, North Carolina
NPI 1336272723

Nicole St. Clair Services is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Roanoke Rapids, NC. Nicole St. Clair Services practices in Roanoke Rapids, NC. The NPI Number for Nicole St. Clair Services is 1336272723 and holds a License No. MHL042039 (North Carolina).

The current practice location address for Nicole St. Clair Services is 4894 Highway 158, Roanoke Rapids, NC and can be reached out via phone at 252-535-1192.

Location: 4894 Highway 158, Roanoke Rapids, NC, 27870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336272723
Provider Name
Nicole St. Clair Services
Credential
Provider Entity Type
Organization
Address
4894 Highway 158, Roanoke Rapids, NC, 27870
Phone Number
252-535-1192
Fax Number
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H63008 05 NC
6603561 05 NC
institution
Provider Business Practice Location Address Details
Address
4894 Highway 158
City
Roanoke Rapids
State
North Carolina
Zip
27870
Phone Number
252-535-1192
Fax Number
person
Provider Business Mailing Address Details
Address
4894 Highway 158
City
Roanoke Rapids
State
North Carolina
Zip
27870
Phone Number
252-535-1192
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL042039 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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