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Organization
WILSON'S HOME CARE AGENCY, INC.
Active
Organization
WILSON'S HOME CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA ANN WILSON RN (OWNER/PRESIDENT)
(252) 244-3595
Entity
Organization
Contact information
Practice address
7914 MAIN ST, VANCEBORO, NC 28586-1022
(252) 244-3595
(252) 244-3163
Mailing address
PO BOX 1022, VANCEBORO, NC 28586-1022
(252) 244-3595
(252) 244-3163
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1762
NC
3747P1801X
Personal Care Attendant
HC1762
NC
3747P1801X
Personal Care Attendant
HC2067
NC
3747P1801X
Personal Care Attendant
HC2170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409088
—
NC
05
—
6600625
—
NC
05
—
6600785
—
NC
05
—
6600834
—
NC
Enumeration date
07/13/2006
Last updated
01/24/2013
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