Organization
NEWPORT DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS OGLESBY (EXECUTIVE DIRECTOR)
(252) 223-4574
Entity
Organization
Contact information
Practice address
903 CHURCH STREET, NEWPORT, NC 28570-0171
(252) 223-4574
(252) 223-4920
Mailing address
903 CHURCH STREET, P.O. BOX 171, NEWPORT, NC 28570-0171
(252) 223-4574
(252) 223-4920
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408198
—
NC
Enumeration date
03/21/2007
Last updated
08/22/2020
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