| Dream Provider Care Services, Inc. | |
|
3060 Sunset Ave Rocky Mount NC 27804-3647 | |
| (252) 946-0585 | |
| (252) 946-0580 |
| Full Name | Dream Provider Care Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3060 Sunset Ave, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Adreanne Turner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2529460585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream Provider Care Services, Inc. 216 Stewart Pkwy Washington NC 27889-4972 Ph: (252) 946-0585 | Dream Provider Care Services, Inc. 3060 Sunset Ave Rocky Mount NC 27804-3647 Ph: (252) 946-0585 |
| NPI Number | 1083184253 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 11/24/2020 |
| Certification Date | 11/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083184253 | NPI | - | NPPES |
| 6005782 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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