Dream Provider Care Services, Inc. | |
3060 Sunset Ave Rocky Mount NC 27804-3647 | |
(252) 946-0585 | |
(252) 946-0580 |
Full Name | Dream Provider Care Services, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 3060 Sunset Ave, Rocky Mount, North Carolina |
Authorized Official Name and Position | Adreanne Turner (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2529460585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dream Provider Care Services, Inc. 216 Stewart Pkwy Washington NC 27889-4972 Ph: (252) 946-0585 | Dream Provider Care Services, Inc. 3060 Sunset Ave Rocky Mount NC 27804-3647 Ph: (252) 946-0585 |
NPI Number | 1083184253 |
---|---|
Provider Enumeration Date | 11/30/2018 |
Last Update Date | 11/24/2020 |
Certification Date | 11/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083184253 | NPI | - | NPPES |
6005782 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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