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Piedmont Residential Development Center, Inc
Intellectual Disabilities Intermediate Care Facility in Concord, North Carolina
NPI 1649334996

Piedmont Residential Development Center, Inc is a Intellectual Disabilities Intermediate Care Facility based in Concord, NC. Piedmont Residential Development Center, Inc practices in Concord, NC. The NPI Number for Piedmont Residential Development Center, Inc is 1649334996 and holds a License No. MHL-013-019 (North Carolina).

The current practice location address for Piedmont Residential Development Center, Inc is 5300 Hwy 200, Concord, NC and can be reached out via phone at 704-788-2304 and via fax at 704-788-2951. You can also correspond with Piedmont Residential Development Center, Inc through the mailing address at PO BOX 909, CONCORD, NC - 28026-0909 (mailing address contact number: 704-788-2304).

Location: 5300 Hwy 200, Concord, NC, 28026-0909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649334996
Provider Name
Piedmont Residential Development Center, Inc
Credential
Provider Entity Type
Organization
Address
5300 Hwy 200, Concord, NC, 28026-0909
Phone Number
704-788-2304
Fax Number
704-788-2951
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406203 05 NC
institution
Provider Business Practice Location Address Details
Address
5300 Hwy 200
City
Concord
State
North Carolina
Zip
28025
Phone Number
704-788-2304
Fax Number
704-788-2951
person
Provider Business Mailing Address Details
Address
5300 Hwy 200
City
Concord
State
North Carolina
Zip
28025
Phone Number
704-788-2304
Fax Number
704-788-2951
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-013-019 (North Carolina)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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