Organization
DW-N-ER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMEKA MACHAE DAVIS BA (DIRECTOR)
(910) 264-5045
Entity
Organization
Contact information
Practice address
75 GEORGE T BRYANT RD SE, BOLIVIA, NC 28422-8903
(910) 253-7527
(910) 253-7544
Mailing address
PO BOX 12221, DURHAM, NC 27709-2221
(910) 253-7527
(910) 253-7544
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL-010-065
NC
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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