Dream Provider Care Services
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Washington, NC
NPI 1770769481 · NPPES record last updated Jan 11, 2008
Key facts
- NPI
- 1770769481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- DREAM PROVIDER CARE SERVICES
- Practice address
- 1255 Highland Dr
Washington, NC 27889-3405 - Phone
- (252) 946-0585
- NPI assigned
- Jan 11, 2008
- Organization subpart
- No
Authorized official
- Name
- Wendee Bailey
- Title
- Ceo
- Phone
- (252) 946-0585
Corporate family (same tax ID) 28
National Provider Directory
- Tax ID family
- Dream Provider Care Services Inc
Locations
1255 Highland Dr
Washington, NC 27889
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Yes |
Addresses
Primary practice location
1255 Highland Dr
Washington, NC 27889-3405
Mailing address
1255 Highland Dr
Washington, NC 27889-3405
Phone (252) 946-0585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6604125 | Medicaid | NC |
Other names
- Dream Provider Care Services
Other providers in Washington, NC
- Dream Provider Care Services
- Dream Provider Care Services
- Dream Provider Care Services
- Dream Provider Care Services
- Dream Provider Care Services
- Dream Provider Care Services
- Dream Provider Care Services
- Dream Provider Care Services, Inc
- Dream Provider Care Services, Inc
- Dream Provider Care Services, Inc.
All providers in Washington, NC · Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.