Wilson County Residential Services, INC

NPI #1750453098 in Wilson, North Carolina

Provider Information

NPI Number
1750453098
Entity Type
Organization
Organization Name
Wilson County Residential Services, INC
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Nov 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
308 BRAGG ST NE
Address 2
GROUP HOME#1
City
Wilson
ZIP Code
27893-3202
Phone
(252) 243-3022

Authorized Official

Name
MRS. GALE PURVIS
Title
EXECUTIVE DIRECTOR
Phone
(252) 237-4778

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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