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Irene Wortham Residential Center, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Asheville, North Carolina
NPI 1710022785

Irene Wortham Residential Center, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Asheville, NC. Irene Wortham Residential Center, Inc. practices in Asheville, NC. The NPI Number for Irene Wortham Residential Center, Inc. is 1710022785 and holds a License No. MHL-011-036 (North Carolina).

The current practice location address for Irene Wortham Residential Center, Inc. is 16 Azalea Street, Asheville, NC and can be reached out via phone at 828-274-7518 and via fax at 828-274-1582.

Location: 16 Azalea Street, Asheville, NC, 28803-2844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710022785
Provider Name
Irene Wortham Residential Center, Inc.
Credential
Provider Entity Type
Organization
Address
16 Azalea Street, Asheville, NC, 28803-2844
Phone Number
828-274-7518
Fax Number
828-274-1582
Provider Enumeration Date
02/20/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406595 05 NC
institution
Provider Business Practice Location Address Details
Address
16 Azalea Street
City
Asheville
State
North Carolina
Zip
28803-2814
Phone Number
828-274-7518
Fax Number
828-274-1582
person
Provider Business Mailing Address Details
Address
16 Azalea Street
City
Asheville
State
North Carolina
Zip
28803-2814
Phone Number
828-274-7518
Fax Number
828-274-1582
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
MHL-011-036 (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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