Carolina Prime Residential LLC
Carolina Prime Residential LLC is a Mental Illness Community Based Residential Treatment Facility in Eden, North Carolina. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
315 Maple StEden, NC 27288-5513
Phone: (336) 623-1020
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|---|
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X |
Record details
| NPI number | 1215545348 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mikisha Simms — Director · (301) 717-2040 |
| NPI enumerated | July 15, 2020 |
| Last updated in NPPES | April 10, 2024 |
| Certification date | April 10, 2024 |
| Mailing address | 315 Maple St, Eden, NC 27288-5513 |
Other providers in Eden
-
Challenges Group Homes, Inc
610 Long St, Eden, NC 27288-4330 · (336) 635-0226
-
Wescare Professional Services, LLC
1407 E Meadow Rd, Eden, NC 27288-3937 · (336) 635-0073