Healthcare Provider Details

I. General information

NPI: 1497546915
Provider Name (Legal Business Name): WORLD RELIEF CORPORATION OF NATIONAL ASSOCIATION OF EVANGELICALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 GILBERT ST STE 209
DURHAM NC
27701-3581
US

IV. Provider business mailing address

801 GILBERT ST STE 209
DURHAM NC
27701-3581
US

V. Phone/Fax

Practice location:
  • Phone: 919-286-3496
  • Fax:
Mailing address:
  • Phone: 919-286-3496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MARK DANDENEAU
Title or Position: REGIONAL DIRECTOR
Credential:
Phone: 916-626-0827