NPI 1013459643

Positive Life Styles

Organisation Adult Care Home Facility Wilson, NC

Practice location

Address: 4805 Green Wing Rd, Wilson, NC 27893-8142
Phone: (252) 281-3967
Fax: (252) 674-7060

Authorised official

Name: Iris H Reid
Title: Owner
Phone: (252) 281-3967

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence FCL098033 (NC)

Other Custodial Care Facility providers in North Carolina →

Registry record

NPI: 1013459643
Entity type: Organization
NPI issued: 14 Nov 2016
Record last updated: 14 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.