Healthcare Provider Details

I. General information

NPI: 1407711963
Provider Name (Legal Business Name): DISABILITY RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5041 NEW CENTRE DR STE 108
WILMINGTON NC
28403-1624
US

IV. Provider business mailing address

5041 NEW CENTRE DR STE 108
WILMINGTON NC
28403-1624
US

V. Phone/Fax

Practice location:
  • Phone: 910-815-6618
  • Fax: 910-815-6658
Mailing address:
  • Phone: 910-815-6618
  • Fax: 910-815-6658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY MCFADDEN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 910-815-6618