Extended Care Service
Extended Care Service is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Louisburg, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
1084 Fuller RdLouisburg, NC 27549-7709
Phone: (919) 496-2958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence MHL-035-017 (NC) |
|---|
Record details
| NPI number | 1518146158 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dian Jones — Owner/Operator · (919) 496-2958 |
| NPI enumerated | October 31, 2007 |
| Last updated in NPPES | October 31, 2007 |
| Mailing address | 1084 Fuller Rd, Louisburg, NC 27549-7709 |
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