Whalio Doctors

NPI 1033651070

Derek's Place

Organisation Home Health Agency Winston Salem, NC

Practice location

Address
150 Secret Garden Ln APT 1, Winston Salem, NC 27104-4721
Phone
(336) 671-3046

Authorised official

Name
Eric Hairston
Title
Executive Administrator
Phone
(336) 671-3046

Registered specialties (3)

Home Health Agency Primary
Agencies Taxonomy 251E00000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X
Child Intellectual and/or Developmental Disabilities Respite Care
Respite Care Facility Taxonomy 385HR2060X

Registry record

NPI
1033651070
Entity type
Organization
NPI issued
8 Nov 2016
Record last updated
8 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.