Provider Demographics
NPI:1407313927
Name:DON WALDROP ENTERPRISES, INC
Entity Type:Organization
Organization Name:DON WALDROP ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-765-5557
Mailing Address - Street 1:274 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:SPRUCE PINE
Mailing Address - State:NC
Mailing Address - Zip Code:28777-2722
Mailing Address - Country:US
Mailing Address - Phone:828-765-5557
Mailing Address - Fax:
Practice Address - Street 1:274 OAK AVE
Practice Address - Street 2:
Practice Address - City:SPRUCE PINE
Practice Address - State:NC
Practice Address - Zip Code:28777-2722
Practice Address - Country:US
Practice Address - Phone:828-765-5557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management