Healthcare Provider Details

I. General information

NPI: 1780702902
Provider Name (Legal Business Name): DEE AND G ENRICHMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 MONTGOMERY ST
BURLINGTON NC
27217-1515
US

IV. Provider business mailing address

207 FRIENDLY RD
BURLINGTON NC
27217-2501
US

V. Phone/Fax

Practice location:
  • Phone: 336-227-0824
  • Fax: 336-228-6447
Mailing address:
  • Phone: 336-227-0824
  • Fax: 336-228-6447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHERRY S CRISP
Title or Position: ADMINISTRATOR
Credential:
Phone: 336-227-0824