institution
Residential Support Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Raleigh, North Carolina
NPI 1396177549

Residential Support Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Raleigh, NC. Residential Support Services practices in Raleigh, NC. The NPI Number for Residential Support Services is 1396177549 and holds a License No. MHL-092-474 (North Carolina).

The current practice location address for Residential Support Services is 3416 Atlantic Ave, Raleigh, NC and can be reached out via phone at 919-787-1214 and via fax at 919-787-3416.

Location: 3416 Atlantic Ave, Raleigh, NC, 27624-8476
institution
Provider Profile Details
NPI Number
1396177549
Provider Name
Residential Support Services
Credential
Provider Entity Type
Organization
Address
3416 Atlantic Ave, Raleigh, NC, 27624-8476
Phone Number
919-787-1214
Fax Number
919-787-3416
Provider Enumeration Date
07/30/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804508 05 NC
3418153 05 NC
7804510 05 NC
8300856 05 NC
8300856B 05 NC
8702203 05 NC
7804509 05 NC
institution
Provider Business Practice Location Address Details
Address
3416 Atlantic Ave
City
State
Zip
27604-1643
Phone Number
919-787-1214
Fax Number
919-787-3416
person
Provider Business Mailing Address Details
Address
3416 Atlantic Ave
City
State
Zip
27604-1643
Phone Number
919-787-1214
Fax Number
919-787-3416
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL-092-474 (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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