# WILSON HOUSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wilson House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679621841
- **Authorized official:** CHARLES E TREFZGER (MANAGER)
- **Authorized official phone:** (828) 322-5535

## Contact information

- **Practice address:** 1800 MARTIN LUTHER KING JR PKWY SE, WILSON, NC 27893-6527
- **Practice address phone:** (252) 237-4243
- **Practice address fax:** (252) 237-4222
- **Mailing address:** PO BOX 2568, HICKORY, NC 28603-2568
- **Mailing address phone:** (828) 324-8898
- **Mailing address fax:** (828) 322-9587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | HAL-098-023 | NC | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 01/06/2007
- **Last updated:** 11/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7805561 | — | NC |