Surry-Yadkin Residential Services, Inc

LBN: Surry-Yadkin Residential Services, Inc
Surry-Yadkin Residential Services, Inc is an health care organization with primary practice located at 1305 Park Dr , Mount Airy NC 27030. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Surry-Yadkin Residential Services, Inc can be contacted via phone (336) 789-6697, or through Denny, Joshua via phone (336) 719-0062.

Contact Information

Primary practice address
1305 Park Dr Mount Airy NC 27030
Phone: (336) 789-6697
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Denny, Joshua
Phone: (336) 719-0062

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL-086-020 North Carolina

Profile Details

NPI number 1861745069
LBN Legal business name Surry-Yadkin Residential Services, Inc
DBA Doing business as
Authorized official Denny, Joshua
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2012
Last updated Jun 13th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861745069 NPPES
North Carolina MEDICAID 340609B

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