MEDICARE: CUMBERLAND RESIDENTIAL & EMPLOYMENT SERVICES& TRAINING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	MHL-026-640	NC
2	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	MHL-026-641	NC
3	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	MHL-026-642	NC
4	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	MHL-026-643	NC
5	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	MHL-026-639	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508909144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CUMBERLAND RESIDENTIAL & EMPLOYMENT SERVICES& TRAINING

Provider Business Mailing Address
First Line	:	PO BOX 877
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28302-0877
Country	:	US
Telephone Number	:	910-487-3131
Fax Number	:	910-487-0637

Provider Business Practice Location Address
First Line	:	245 TILLINGHAST ST
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-4747
Country	:	US
Telephone Number	:	910-487-3131
Fax Number	:	910-487-0637

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. DWAYNE K. PATTERSON
Credential	:
Telephone Number	:	910-487-3131

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	07/29/2014

Similar Medicare Providers

1477697498 — MRS. VIVECA MELODY PANKEY MA, CCC-SLP
Practice Location Address:

1719 EMPRESS LN
FAYETTEVILLE, NC
28304-4747

Practice Phone: 910-551-4960
Practice Fax:

1275677544 — DR. JOHN RODNEY JUSTICE D.C.
Practice Location Address:

1999 HIGHWAY 54 W
FAYETTEVILLE, GA
30214-4747

Practice Phone: 770-487-5600
Practice Fax: 770-487-4911

1093131716 — GENESIS ELDERCARE REHABILITATION SERVICES INC
Practice Location Address:

1967 HIGHWAY 54 W
FAYETTEVILLE, GA
30214-4747

Practice Phone: 770-631-2338
Practice Fax:

1144964396 — NAZEM ALSAIDI
Practice Location Address:

4747 CUMBERLAND RD
FAYETTEVILLE, NC
28306-2413

Practice Phone: 910-263-8503
Practice Fax:

1992504385 — N CAROLINA RX, LLC
Practice Location Address:

4747 CUMBERLAND RD
FAYETTEVILLE, NC
28306-2413

Practice Phone: 910-263-8503
Practice Fax:

1376753046 — MS. DAWN TRACY LANGLEY PA-C
Practice Location Address:

103 COUNTRY CLUB DR
FAYETTEVILLE, NC
28301-7603

Practice Phone: 910-400-7002
Practice Fax: 910-408-7675

Directions to “CUMBERLAND RESIDENTIAL & EMPLOYMENT SERVICES& TRAINING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.