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Organization

HOUSE OF PROGRESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY PHYLLIP COX (OWNER)
(252) 291-4915
Entity
Organization

Contact information

Practice address
1725 HILLCREST DR W, WILSON, NC 27893-2727
(252) 291-4915
(252) 529-1696
Mailing address
PO BOX 1991, WILSON, NC 27894-1991
(252) 291-4915
(252) 291-6962

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MH098095
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7804900
NC
Enumeration date
02/09/2007
Last updated
08/22/2020
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