Provider Demographics
NPI:1245068675
Name:D&D CARE SERVICES
Entity type:Organization
Organization Name:D&D CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CONTEANE
Authorized Official - Middle Name:DENNICE
Authorized Official - Last Name:WAVERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-213-4716
Mailing Address - Street 1:PO BOX 996
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-0996
Mailing Address - Country:US
Mailing Address - Phone:252-213-4716
Mailing Address - Fax:
Practice Address - Street 1:467 MADISON GROVE LN
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27537-3325
Practice Address - Country:US
Practice Address - Phone:252-432-8612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty