Provider Demographics
NPI:1255883153
Name:RESIDENTIAL SOLUTIONS OF NC LLC
Entity type:Organization
Organization Name:RESIDENTIAL SOLUTIONS OF NC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:VERA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLNER
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC
Authorized Official - Phone:704-236-4067
Mailing Address - Street 1:14389 NOLEN LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3711
Mailing Address - Country:US
Mailing Address - Phone:704-236-4067
Mailing Address - Fax:
Practice Address - Street 1:14389 NOLEN LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3711
Practice Address - Country:US
Practice Address - Phone:704-236-4067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health