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Five Star Support Services Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Waxhaw, North Carolina
NPI 1487975249

Five Star Support Services Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Waxhaw, NC. Five Star Support Services Llc practices in Waxhaw, NC. The NPI Number for Five Star Support Services Llc is 1487975249 and holds a License No. (North Carolina).

The current practice location address for Five Star Support Services Llc is 9019 Red Bud Trail, Waxhaw, NC and can be reached out via phone at 704-243-2592 and via fax at 704-243-2592.

Location: 9019 Red Bud Trail, Waxhaw, NC, 28173-8913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487975249
Provider Name
Five Star Support Services Llc
Credential
Provider Entity Type
Organization
Address
9019 Red Bud Trail, Waxhaw, NC, 28173-8913
Phone Number
704-243-2592
Fax Number
704-243-2592
Provider Enumeration Date
06/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9019 Red Bud Trail
City
Waxhaw
State
North Carolina
Zip
28173-8913
Phone Number
704-243-2592
Fax Number
704-243-2592
person
Provider Business Mailing Address Details
Address
9019 Red Bud Trail
City
Waxhaw
State
North Carolina
Zip
28173-8913
Phone Number
704-243-2592
Fax Number
704-243-2592
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(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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