PROVIDENTIAL FACILITY SERVICES, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Greenville, 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. PROVIDENTIAL FACILITY SERVICES, LLC NPI is 1144510157. The provider is registered as an organization entity type.
The provider's business location address is:
611 FORD ST
GREENVILLE, NC
ZIP 27834-935
Phone: (252) 902-2617
The provider's authorized official is Joseph Coy Randolpf .
The authorized official title is Owner and has the following contact phone number (252) 902-2617.
The enumeration date for this NPI number is 4/11/2011 and was last updated on 4/11/2011.