Dwayne'S Extended Family Services, Inc. in Jamestown - Residential Treatment Facility, Emotionally Disturbed Children
Dwayne'S Extended Family Services, Inc. - NPI 1831256858
Dwayne'S Extended Family Services, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Jamestown, North Carolina. Dwayne'S Extended Family Services, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Dwayne'S Extended Family Services, Inc. is 1831256858. The last update date is 2020-08-22.
Dwayne'S Extended Family Services, Inc.'s current location address is 1215 Bales Chapel Rd, Jamestown, North Carolina. You can contact this provider via phone number 3366383494 and fax number 3366383494. The mailing address for Dwayne'S Extended Family Services, Inc. is 1215 Bales Chapel Rd, Jamestown, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dwayne'S Extended Family Services, Inc. |
|---|---|
| Address | 1215 Bales Chapel Rd, Jamestown, North Carolina |
| Phone Number | 3366383494 |
| Fax Number | 3366383494 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Tripp Dwayne |
| Telephone Number | 3366383494 |
NPI Number Detail
| NPI Number | 1831256858 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1215 Bales Chapel Rd |
|---|---|
| City | Jamestown |
| State | North Carolina (NC) |
| Post Code | 272829149 |
| Phone Number | 3366383494 |
| Fax Number | 3366383494 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-041-676 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identifier code issued to Dwayne'S Extended Family Services, Inc. by the Centers for Medicare & Medicaid Services?
The Dwayne'S Extended Family Services, Inc. has been assigned the NPI (National Provider Identifier) 1831256858 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Dwayne'S Extended Family Services, Inc.?
The Dwayne'S Extended Family Services, Inc. is situated at 1215 Bales Chapel Rd, in the city of Jamestown, state of NC, with the zip code 272829149.
What is Dwayne'S Extended Family Services, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Dwayne'S Extended Family Services, Inc.'s area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.
When did the Dwayne'S Extended Family Services, Inc. receive its 1831256858?
The Dwayne'S Extended Family Services, Inc. was issued its 1831256858 on 2007-01-02, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Dwayne'S Extended Family Services, Inc. most recently updated or revised?
The details related to Dwayne'S Extended Family Services, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.