NPI 1073632998

Wilson Residential Services INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility North Canton, OH

Practice location

Address: 6815 William Tell Ave NW, North Canton, OH 44720-6547
Phone: (330) 224-1041

Authorised official

Name: Larry Michael Wilson
Title: Administrator
Phone: (330) 224-1041

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 7600804 (OH)

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Registry record

NPI: 1073632998
Entity type: Organization
NPI issued: 29 Mar 2007
Record last updated: 22 Aug 2020

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.

Contact

(330) 224-1041 Open in maps

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