Five Star Support Services LLC
NPI #1487975249 in Waxhaw, North Carolina
Provider Information
- NPI Number
- 1487975249
- Entity Type
- Organization
- Organization Name
- Five Star Support Services LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 16, 2010
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 9019 RED BUD TRAIL
- City
- Waxhaw
- State
- North Carolina
- ZIP Code
- 28173-8913
- Phone
- (704) 243-2592
Authorized Official
- Name
- MRS. MARIE LEGGETT MANGRUM
- Title
- OWNER - DIRECTOR
- Phone
- (704) 243-2592
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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