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Organization
ROBBIE WILSON COMMUNITY SERVICE INC
Active
Organization
ROBBIE WILSON COMMUNITY SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EYVETTE LACHELLA AABBOTT (CEO)
(336) 473-9933
Entity
Organization
Contact information
Practice address
5462 NORTHRIDGE DR, WINSTON SALEM, NC 27105-1782
(336) 473-9933
Mailing address
5462 NORTHRIDGE DR, WINSTON SALEM, NC 27105-1782
(336) 473-9933
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NC
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/11/2010
Last updated
07/21/2023
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