Organization
PARKWOOD VILLAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLY MILLER (EXECUTIVE DIRECTOR)
(252) 237-9050
Entity
Organization
Contact information
Practice address
1730 PARKWOOD BLVD W, WILSON, NC 27893-3564
(252) 237-9050
(252) 237-9093
Mailing address
1730 PARKWOOD BLVD W, WILSON, NC 27893-3564
(252) 237-9050
(252) 237-9093
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-098-018
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805118
—
NC
Enumeration date
11/10/2006
Last updated
12/19/2007
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