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Organization
GENTLE HANDS
Active
Organization
GENTLE HANDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA POWELL (DIRECTOR/ADMINISTRATOR)
(252) 291-0489
Entity
Organization
Contact information
Practice address
1615 WASHINGTON ST E, WILSON, NC 27893-5561
(252) 991-2838
Mailing address
1615 WASHINGTON ST E, WILSON, NC 27893-5561
(252) 991-2838
(252) 991-2838
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-098-155
NC
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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