Organization
M D M D SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH MCMILLAN EVANS A.S. DEGREE HUMAN SE (PRESIDENT)
(910) 797-5642
Entity
Organization
Contact information
Practice address
120 N MAIN ST, RAEFORD, NC 28376-2804
(910) 848-0001
(910) 848-0551
Mailing address
120 N MAIN ST, RAEFORD, NC 28376-2804
(910) 848-0001
(910) 848-0551
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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