Fresh Start Residential Facility, Inc

NPI 1710039086 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1710039086
Enumeration Date 01/17/2007
Last Updated 08/20/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DEMONTAY RAMEL DEMONTAY
Position DIRECTOR
Phone (910) 867-3591
Fax
Practice Location
7866 ADRIAN DR
FAYETTEVILLE NC, 28314-6312, US
Phone (910) 867-3591
Fax
Business Location
7866 ADRIAN DR
FAYETTEVILLE NC, 28314-6312, US
Phone (910) 867-3591
Fax
Toxanomy
Taxonomy Code 320600000X
License State North Carolina
License Number 026-822
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According to our database, Fresh Start Residential Facility, Inc NPI is 1710039086, taxonomy code is 320600000X and license number is 026-822, license state is located at North Carolina. Fresh Start Residential Facility, Inc physically located at 7866 Adrian Dr, Fayetteville NC, 28314-6312. NPI Number 1033115704 has the healthcare provider type.

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1710039086 NPI number is provided on an as is basis without warranty of any kind. 1710039086 is maintained by the National Plan & Provider Enumeration System. The contents of Fresh Start Residential Facility, Inc are for informational purposes only.