Derek's Place
Derek's Place is a Developmentally Disabled Services Day Training Agency in Winston Salem, North Carolina. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
150 Secret Garden Ln Apt 1Winston Salem, NC 27104-4721
Phone: (336) 671-3046
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X |
|---|---|
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X |
| Child Intellectual and/or Developmental Disabilities Respite Care | Taxonomy 385HR2060X |
Record details
| NPI number | 1033651070 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eric Hairston — Executive Administrator · (336) 671-3046 |
| NPI enumerated | November 8, 2016 |
| Last updated in NPPES | November 8, 2016 |
| Mailing address | 150 Secret Garden Ln, Apt 1, Winston Salem, NC 27104-4721 |
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