Derek's Place 2
Derek's Place 2 is a Developmentally Disabled Services Day Training Agency in Winston Salem, North Carolina. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 6
Practice location Address checks out
8025 N Point Blvd Ste 265Winston Salem, NC 27106-3859
Phone: (336) 575-4463
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 |
| Nursing Care Agency | Taxonomy 251J00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X |
Record details
| NPI number | 1043978331 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eric Hairston — Administrator · (336) 726-4309 |
| NPI enumerated | December 3, 2021 |
| Last updated in NPPES | February 23, 2022 |
| Certification date | February 23, 2022 |
| Mailing address | 1504 Ne 21st St, Winston Salem, NC 27105-6208 |
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