CAROLINA RESIDENTIAL SERVICES, INC
Residential Treatment Facilities at Church St, Ahoskie, NC

License number
North Carolina MHL-046-005
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MS. SUSAN M KINCAID
Title: DIRECTOR
Phone: (828) 572-2888
Address
Address 2
516 Church St E, Ahoskie, NC 27910
PO Box 286, Rutherford College, NC 28671
National Provider ID: 1275676959
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Carolina Residential Services, Inc

Lenoir, NC  -  Rutherford College, NC  -  Wallace, NC

Industry:
Nursing/Personal Care
Doing business as:
Carolina Residential Services
Registration:
Feb 12, 1996
Addresses:
247 Commercial Ct NE, Lenoir, NC 28645 (Physical)
PO Box 286, Rutherford College, NC 28671 (Mailing)
314 E Westbrook St, Wallace, NC 28466
State ID:
0388468
Director of Operations, Principals:
Susan Kincaid (President, Director), 5044 Mineral Spg Mtn Rd, Connelly Springs, NC 28612 (Physical),Derek Wilson (Director of Operations, Principal)
Agent:
Susan M. Kincaid

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