Provider Demographics
NPI:1982750790
Name:DOWN HOME INTERVENTION SERVICES, INC.
Entity Type:Organization
Organization Name:DOWN HOME INTERVENTION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DION
Authorized Official - Last Name:SMALLWOOD
Authorized Official - Suffix:SR
Authorized Official - Credentials:BS
Authorized Official - Phone:252-792-1241
Mailing Address - Street 1:PO BOX 582
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-0582
Mailing Address - Country:US
Mailing Address - Phone:252-792-1241
Mailing Address - Fax:252-792-7593
Practice Address - Street 1:206 WILSON ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-2354
Practice Address - Country:US
Practice Address - Phone:252-792-1241
Practice Address - Fax:252-792-7593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management