OrganizationActive
Carolina Residential Services, Inc
NPI 1811030463 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Statesville, NC
Provider details
- NPI number
- 1811030463
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Susan Kincaid, Director
Practice location
730 N Mulberry St
Statesville, NC 28677-3233
Phone: (704) 883-0647
Fax: (704) 873-4458
Mailing address
Po Box 286
Rutherford College, NC 28671-0286
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2013-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.