RESIDENTIAL SERVICES, INC.
Adult Care Home
Durham, North Carolina
Provider NPI: 1699820811
Organization Information:Organization Name: RESIDENTIAL SERVICES, INC.
Practice Location:
6310 MOUNT HERMON CHURCH RD DURHAM, NC 27705 US
Tel: 919-383-4444 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
6310 MOUNT HERMON CHURCH RD DURHAM, NC 27705 US
Tel: 919-383-4444 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | ||
X | 320900000X | Residential Treatment Facilities Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7804896 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin