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Carolina Residential Services, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, North Carolina
NPI 1588707236

Carolina Residential Services, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Rutherford College, NC. Carolina Residential Services, Inc practices in Jacksonville, NC. The NPI Number for Carolina Residential Services, Inc is 1588707236 and holds a License No. (North Carolina).

The current practice location address for Carolina Residential Services, Inc is 324 Pine Valley Rd, Jacksonville, NC and can be reached out via phone at 910-353-1415 and via fax at 910-353-1415.

Location: 324 Pine Valley Rd, Jacksonville, NC, 28671-0286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588707236
Provider Name
Carolina Residential Services, Inc
Credential
Provider Entity Type
Organization
Address
324 Pine Valley Rd, Jacksonville, NC, 28671-0286
Phone Number
910-353-1415
Fax Number
910-353-1415
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804291 05 NC
7806596 05 NC
institution
Provider Business Practice Location Address Details
Address
324 Pine Valley Rd
City
Jacksonville
State
North Carolina
Zip
28546-7784
Phone Number
910-353-1415
Fax Number
910-353-1415
person
Provider Business Mailing Address Details
Address
324 Pine Valley Rd
City
Jacksonville
State
North Carolina
Zip
28546-7784
Phone Number
910-353-1415
Fax Number
910-353-1415
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MHL-067-102 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
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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