Organization
D-POM L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA OATES (OWNER/ADMINISTRATOR)
(252) 641-5452
Entity
Organization
Contact information
Practice address
2109 SAINT ANDREW ST STE 15A&16, TARBORO, NC 27886-2149
(252) 641-5452
(252) 477-0372
Mailing address
PO BOX 1634, TARBORO, NC 27886-1634
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301751B
—
NC
Enumeration date
07/24/2007
Last updated
12/22/2020
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