FRESH START RESIDENTIAL FACILITY INC NPI 1710039086

NPI Information

FRESH START RESIDENTIAL FACILITY, INC 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. FRESH START RESIDENTIAL FACILITY, INC NPI is 1710039086. The provider is registered as an organization entity type.

The provider's business location address is:

7866 ADRIAN DR
FAYETTEVILLE, NC
ZIP 28314-312
Phone: (910) 867-3591

The provider's authorized official is Demontay Ramel Munford .
The authorized official title is Director and has the following contact phone number (910) 867-3591.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 8/20/2014.

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:

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