MID-STATE HEALTH SYSTEMS, INC is an intermediate care facility mentally retarded in Fayetteville, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MID-STATE HEALTH SYSTEMS, INC NPI is 1083056782. The provider is registered as an organization entity type.
The provider Is Doing Business As Thomas S Decatur Home.
The provider's business location address is:
7559 DECATUR DR
FAYETTEVILLE, NC
ZIP 28303-989
Phone: (910) 484-3717
Fax: (910) 484-1315
The provider's authorized official is Sera Gilmore .
The authorized official title is Administrator and has the following contact phone number (910) 484-3717.
The CLIA number assigned to this NPI record is 34D2271409 - other - group home with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/23/2013 and was last updated on 12/7/2015.