Organization
DOMINION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI GRESSETT (DIRECTOR)
(910) 527-0890
Entity
Organization
Contact information
Practice address
1930 FORT BRAGG RD, FAYETTEVILLE, NC 28303-6806
(910) 527-0890
Mailing address
1930 FORT BRAGG RD, FAYETTEVILLE, NC 28303-6806
(910) 527-0890
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601303
—
NC
Enumeration date
04/29/2009
Last updated
04/29/2009
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