Derek'S Place

LBN: Derek'S Place
Derek'S Place is an health care organization with primary practice located at 150 Secret Garden Ln Apt 1, Winston Salem NC 27104-4721. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Home Health is the primary health care specialty. Derek'S Place can be contacted via phone (336) 671-3046, or through Hairston, Eric via phone (336) 671-3046.

Contact Information

Primary practice address
150 Secret Garden Ln Apt 1 Winston Salem NC 27104-4721
Phone: (336) 671-3046
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hairston, Eric
Phone: (336) 671-3046

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1033651070
LBN Legal business name Derek'S Place
DBA Doing business as
Authorized official Hairston, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2016
Last updated Nov 8th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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