Whalio Doctors

NPI 1104127885

Choice Community Living Services

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

Practice location

Address
1037 Whetstone CT, Raleigh, NC 27615-5827
Phone
(919) 801-4247
Mailing address
7719 Falcon Rest Cir, Raleigh, NC 27615-2561

Authorised official

Name
Shandra Jones Ross
Title
Owner/Operations Manager
Phone
(919) 801-4247

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1104127885
Entity type
Organization
NPI issued
10 Nov 2010
Record last updated
14 Feb 2011

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.