| Dream Provider Care Services | |
|
606 Gray Rd Chocowinity NC 27817-8222 | |
| (252) 946-0585 | |
| (252) 946-0580 |
| Full Name | Dream Provider Care Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 606 Gray Rd, Chocowinity, North Carolina |
| Authorized Official Name and Position | Wendee Bailey (OWNER) |
| Authorized Official Contact | 2529460585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream Provider Care Services 216 Stewart Pkwy Washington NC 27889-4972 Ph: (252) 946-0585 | Dream Provider Care Services 606 Gray Rd Chocowinity NC 27817-8222 Ph: (252) 946-0585 |
| NPI Number | 1841677119 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 05/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841677119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8301273 (North Carolina) | Primary |
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