Wilson County Residential Services,Inc in Wilson - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Wilson County Residential Services,Inc - NPI 1821129040
Wilson County Residential Services,Inc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Wilson, North Carolina. Wilson County Residential Services,Inc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Wilson County Residential Services,Inc is 1821129040. The last update date is 2020-08-22.
Wilson County Residential Services,Inc's current location address is 115 B West Hines St, Wilson, North Carolina. You can contact this provider via phone number 2522374778 and fax number 2522061681. The mailing address for Wilson County Residential Services,Inc is 115 B West Hines St, Wilson, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wilson County Residential Services,Inc |
|---|---|
| Address | 115 B West Hines St, Wilson, North Carolina |
| Phone Number | 2522374778 |
| Fax Number | 2522061681 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Purvis Gale |
| Telephone Number | 2522374778 |
NPI Number Detail
| NPI Number | 1821129040 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 115 B West Hines St |
|---|---|
| City | Wilson |
| State | North Carolina (NC) |
| Post Code | 278933924 |
| Phone Number | 2522374778 |
| Fax Number | 2522061681 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL-098-081 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3408892 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wilson County Residential Services,Inc by the Centers for Medicare & Medicaid Services?
The Wilson County Residential Services,Inc has been assigned the NPI (National Provider Identifier) 1821129040 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Wilson County Residential Services,Inc is physically located?
The Wilson County Residential Services,Inc is physically situated at the following address: 115 B West Hines St, Wilson, NC, 278933924.
What is Wilson County Residential Services,Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wilson County Residential Services,Inc's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
On what date did the Wilson County Residential Services,Inc receive its 1821129040 assignment from the Centers for Medicare & Medicaid Services?
The Wilson County Residential Services,Inc was assigned its 1821129040 by the Centers for Medicare & Medicaid Services on 2007-03-08.
As of what date was the information regarding Wilson County Residential Services,Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wilson County Residential Services,Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1356344279
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