# AVANTE AT WILSON, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295810240
- **Authorized official:** MR. DEAN J DICKMANN (PRESIDENT)
- **Authorized official phone:** (954) 987-7180

## Contact information

- **Practice address:** 1804 FOREST HILLS RD W, WILSON, NC 27893-3413
- **Practice address phone:** (252) 237-8161
- **Practice address fax:** (252) 237-0447
- **Mailing address:** 4000 HOLLYWOOD BLVD, SUITE 540 NORTH, HOLLYWOOD, FL 33021-6751
- **Mailing address phone:** (954) 987-7180
- **Mailing address fax:** (954) 989-5287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH0272 | NC | — |
| 314000000X | Skilled Nursing Facility | NH0272 | NC | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 06/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3416213 | — | NC |
| 05 | — | 3425063 | — | NC |