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Etta's Residential Services And Supports, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Raleigh, North Carolina
NPI 1932371135

Etta's Residential Services And Supports, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Raleigh, NC. Etta's Residential Services And Supports, Inc. practices in Raleigh, NC. The NPI Number for Etta's Residential Services And Supports, Inc. is 1932371135 and holds a License No. MHL-092-705 (North Carolina).

The current practice location address for Etta's Residential Services And Supports, Inc. is 4833 Tolley Ct, Raleigh, NC and can be reached out via phone at 919-599-1636 and via fax at 919-720-4818.

Location: 4833 Tolley Ct, Raleigh, NC, 27616-7827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932371135
Provider Name
Etta's Residential Services And Supports, Inc.
Credential
Provider Entity Type
Organization
Address
4833 Tolley Ct, Raleigh, NC, 27616-7827
Phone Number
919-599-1636
Fax Number
919-720-4818
Provider Enumeration Date
03/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4833 Tolley Ct
City
Raleigh
State
North Carolina
Zip
27616-7827
Phone Number
919-599-1636
Fax Number
919-720-4818
person
Provider Business Mailing Address Details
Address
4833 Tolley Ct
City
Raleigh
State
North Carolina
Zip
27616-7827
Phone Number
919-599-1636
Fax Number
919-720-4818
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
MHL-092-705 (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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