Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Etta's Residential Services and Supports, Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1932371135

Etta's Residential Services and Supports, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4833 Tolley Ct
Raleigh, NC 27616-7827
Phone: (919) 599-1636
Fax: (919) 720-4818
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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 · Licence MHL-092-705 (NC)

Record details

NPI number1932371135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leon Rogers — Ceo · (919) 599-1636
NPI enumeratedMarch 27, 2008
Last updated in NPPESMarch 27, 2008
Mailing address4833 Tolley Ct, Raleigh, NC 27616-7827

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