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Organization

WILSON FAMILY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TOM W CROWDER (OWNER)
(910) 428-4675
Entity
Organization

Contact information

Practice address
221 CENTER ST, 221 CENTER ST, STAR, NC 27356-0602
(910) 428-4675
(910) 428-1518
Mailing address
221 CENTER STT, STAR, NC 27356-0602
(910) 428-4675
(910) 428-2325

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL062004
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7801987
NC
Enumeration date
03/27/2007
Last updated
08/22/2020
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