Carolina Residential Services, Inc.
LBN: Carolina Residential Services, Inc.
Carolina Residential Services, Inc. is an health care organization with primary practice located at 314 East Westbrook Street , Wallace NC 28466-1533. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
Carolina Residential Services, Inc. can be contacted via phone (910) 285-5319, or through Kincaid, Susan M via phone (828) 572-2333.
Contact Information
Primary practice address
314 East Westbrook Street
Wallace NC 28466-1533
Phone: (910) 285-5319
Fax: (910) 285-5438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | MHL 031063 | North Carolina |
Profile Details
| NPI number | 1770705956 |
|---|---|
| LBN Legal business name | Carolina Residential Services, Inc. |
| DBA Doing business as | |
| Authorized official | Kincaid, Susan M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jun 12th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770705956 | NPPES |
| North Carolina | MEDICAID | 7805778 | |
| North Carolina | MEDICAID | 7806594 |
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