Provider Demographics
NPI:1235962390
Name:A BETTER STAY RESIDENTIAL SUPPORT AND LEARNING CENTER, LLC
Entity type:Organization
Organization Name:A BETTER STAY RESIDENTIAL SUPPORT AND LEARNING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:DANIELLA
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-641-5722
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:STEM
Mailing Address - State:NC
Mailing Address - Zip Code:27581-0151
Mailing Address - Country:US
Mailing Address - Phone:919-641-5722
Mailing Address - Fax:
Practice Address - Street 1:988 RED STONE CT
Practice Address - Street 2:
Practice Address - City:ROUGEMONT
Practice Address - State:NC
Practice Address - Zip Code:27572-9407
Practice Address - Country:US
Practice Address - Phone:919-641-5722
Practice Address - Fax:866-405-5803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children