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Organization
WILSON FAMILY HOMES, INC
Active
Organization
WILSON FAMILY HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RESHONDRA WILSON (CEO)
(910) 740-0944
Entity
Organization
Contact information
Practice address
1199 N SHANNON RD, SHANNON, NC 28386-9274
(910) 740-0944
Mailing address
1199 N SHANNON RD, SHANNON, NC 28386-9274
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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