NPI 1346370160

Wilson County Residential Services, INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Wilson, NC

Practice location

Address: 1300 Gold St N, Wilson, NC 27893-2302
Phone: (252) 237-4778
Fax: (252) 206-1681
Mailing address: 115 B West Hines St, Wilson, NC 27893-3924

Authorised official

Name: Gale Puevis
Title: Executive Director
Phone: (252) 237-4778

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence MHL-098-079 (NC)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1346370160
Entity type: Organization
NPI issued: 7 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.