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Extended Care Service
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Louisburg, North Carolina
NPI 1518146158

Extended Care Service is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Louisburg, NC. Extended Care Service practices in Louisburg, NC. The NPI Number for Extended Care Service is 1518146158 and holds a License No. MHL-035-017 (North Carolina).

The current practice location address for Extended Care Service is 1084 Fuller Road, Louisburg, NC and can be reached out via phone at 919-496-2958.

Location: 1084 Fuller Road, Louisburg, NC, 27549-7709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518146158
Provider Name
Extended Care Service
Credential
Provider Entity Type
Organization
Address
1084 Fuller Road, Louisburg, NC, 27549-7709
Phone Number
919-496-2958
Fax Number
Provider Enumeration Date
10/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7803501 05 NC
institution
Provider Business Practice Location Address Details
Address
1084 Fuller Road
City
Louisburg
State
North Carolina
Zip
27549-7709
Phone Number
919-496-2958
Fax Number
person
Provider Business Mailing Address Details
Address
1084 Fuller Road
City
Louisburg
State
North Carolina
Zip
27549-7709
Phone Number
919-496-2958
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.
MHL-035-017 (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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