Organization
WILSON ASSISTED LIVING
Active
Organization
WILSON ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH C BURRELL (PARTNER)
(803) 230-1555
Entity
Organization
Contact information
Practice address
3501 SENIOR VILLAGE LN NW, WILSON, NC 27896-9618
(252) 243-3186
(252) 243-3187
Mailing address
PO BOX 188, WILSON, NC 27894-0188
(252) 243-3186
(252) 243-3187
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL098024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805531
—
NC
Enumeration date
01/29/2007
Last updated
06/21/2008
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