Providential Facility Services, LLC
Providential Facility Services, LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greenville, North Carolina. Registered with an NPI since 2011.
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
611 Ford StGreenville, NC 27834-2935
Phone: (252) 902-2617
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 Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1144510157 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Randolpf — Owner · (252) 902-2617 |
| NPI enumerated | April 11, 2011 |
| Last updated in NPPES | April 11, 2011 |
| Mailing address | 1714 Glenview Dr, Greenville, NC 27834-9680 |
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