Provider Demographics
NPI:1508016015
Name:DW-N-ER, INC.
Entity Type:Organization
Organization Name:DW-N-ER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:MACHAE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:910-264-5045
Mailing Address - Street 1:PO BOX 12221
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27709-2221
Mailing Address - Country:US
Mailing Address - Phone:910-253-7527
Mailing Address - Fax:910-253-7544
Practice Address - Street 1:75 GEORGE T BRYANT RD SE
Practice Address - Street 2:
Practice Address - City:BOLIVIA
Practice Address - State:NC
Practice Address - Zip Code:28422-8903
Practice Address - Country:US
Practice Address - Phone:910-253-7527
Practice Address - Fax:910-253-7544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-010-065251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services