Residential Services at Revere, LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1003197609

Residential Services at Revere, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hillsborough, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in: NC
In the registry since: 2011

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

516A Revere Rd
Hillsborough, NC 27278
Phone: (919) 241-4474

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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 068151 (NC)

Record details

NPI number	1003197609
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Jackie Parker — Director · (919) 452-8903
NPI enumerated	September 9, 2011
Last updated in NPPES	September 9, 2011
Mailing address	4511 Nc Highway 86 N, Hillsborough, NC 27278-9250