Wilson County Residential Services, INC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wilson, NC. Organization (NPI-2).
NPI number1750453098
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1750453098
- Entity type
- Organization (NPI-2)
- Legal business name
- Wilson County Residential Services, INC
- Organization subpart
- No
- Enumeration date
- Nov 14, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | MHL-098-080 | NC | Yes |
Practice location
308 Bragg St NeGroup Home#1
Wilson, NC 27893-3202
Phone 252-243-3022 · Fax 252-206-1681
Mailing address
115 Hines St WUnite B
Wilson, NC 27893-3924
Phone 252-237-4778 · Fax 252-206-1681
Authorized official
Gale Purvis
Executive Director
2522374778
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