UNITED RESIDENTIAL SERVICES OF N.C. NPI 1235276031

NPI Information

UNITED RESIDENTIAL SERVICES OF N.C. is a residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. UNITED RESIDENTIAL SERVICES OF N.C. NPI is 1235276031. The provider is registered as an organization entity type.

The provider's business location address is:

6503 KEMPER CT
FAYETTEVILLE, NC
ZIP 28303-354
Phone: (910) 583-1104
Fax: (910) 630-1104

The provider's authorized official is Darrin Lee Mcneill .
The authorized official title is Facility Director and has the following contact phone number (910) 583-1104.

The CLIA number assigned to this NPI record is 34D2170058 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 4/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.