Organization
R & D WILSON HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANITA PAYNE WILSON (ADMINISTRATOR)
(336) 635-4307
Entity
Organization
Contact information
Practice address
1325 E STADIUM DR, EDEN, NC 27288-3811
(336) 635-4307
Mailing address
1325 E STADIUM DR, EDEN, NC 27288-3811
(336) 635-4307
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-079-075
NC
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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