NPI 1033359609

Southeastern Residential Services of Nc

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Raleigh, NC

Practice location

Address: 4811 River Stream Way 204, Raleigh, NC 27616-6583
Phone: (919) 850-3368

Authorised official

Name: Alana Alicia George
Title: Owner
Phone: (919) 850-3368

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 320600000X (NC)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1033359609
Entity type: Organization
NPI issued: 23 Feb 2009
Record last updated: 23 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.