| Dream Provider Care Services | |
|
703 N Broad Street Dream Provider Care Services Edenton NC 27932-0703 | |
| (252) 946-0585 | |
| (252) 946-0580 |
| Full Name | Dream Provider Care Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 703 N Broad Street, Edenton, North Carolina |
| Authorized Official Name and Position | Wendee M 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 Dream Provider Care Services, Inc. Washington NC 27889-4972 Ph: (252) 946-0585 | Dream Provider Care Services 703 N Broad Street Dream Provider Care Services Edenton NC 27932-0703 Ph: (252) 946-0585 |
| NPI Number | 1194005256 |
|---|---|
| Provider Enumeration Date | 08/22/2011 |
| Last Update Date | 05/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194005256 | NPI | - | NPPES |
| 6005782 | Medicaid | NC |
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