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Organization
DREAM PROVIDER CARE SERVICES
Active
Organization
DREAM PROVIDER CARE SERVICES
Active
Other names
Dream Provider Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
WENDEE BAILEY (CEO)
(252) 946-0585
Entity
Organization
Contact information
Practice address
1255 HIGHLAND DR, WASHINGTON, NC 27889-3405
(252) 946-0585
Mailing address
1255 HIGHLAND DR, WASHINGTON, NC 27889-3405
(252) 946-0585
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604125
—
NC
Enumeration date
01/11/2008
Last updated
01/11/2008
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