Nicole St Clair Services
Nicole St Clair Services is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Roanoke Rapids, 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
4894 Highway 158Roanoke Rapids, NC 27870
Phone: (252) 535-1192
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence MHL042039 (NC) |
|---|
Record details
| NPI number | 1336272723 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karen Mallory — Ceo · (252) 578-9071 |
| Other names | Amanda'S Place |
| NPI enumerated | March 14, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4894 Highway 158, Roanoke Rapids, NC 27870 |
Other providers in Roanoke Rapids
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Invision Management Corporation
4852 US Highway 158, Roanoke Rapids, NC 27870-8948 · (252) 535-1192