NPI 1124304753

Directcare Community Base Services,llc

Organisation Case Management Agency Winston Salem, NC

Practice location

Address: 4401 Providence Ln, Winston Salem, NC 27106-3226
Phone: (336) 397-9983
Mailing address: PO Box 261, Crouse, NC 28033-0261

Authorised official

Name: Barrance Todd Roberts
Title: Owner
Phone: (828) 305-4330

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in North Carolina →

Registry record

NPI: 1124304753
Entity type: Organization
NPI issued: 27 Oct 2011
Record last updated: 27 Oct 2011

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.