Organization
GREGORY E EDWARDS
Active
Other names
Pleasant Pine Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY E EDWARDS (OWNER)
(252) 399-7609
Entity
Organization
Contact information
Practice address
516 DEANS ST W, WILSON, NC 27893-2802
(252) 399-7609
(252) 291-9448
Mailing address
516 DEANS ST W, WILSON, NC 27893-2802
(252) 399-7609
(252) 291-9448
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-098-014
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804541
—
NC
Enumeration date
12/13/2007
Last updated
06/24/2008
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