Organization
WILSON'S HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA ANN WIL;SON RN (OWNER)
(252) 244-3595
Entity
Organization
Contact information
Practice address
1528 SO EVAN ST., SIUTE M, GREENVILLE, NC 27834-5311
(252) 353-8020
(252) 353-8040
Mailing address
7914 MAIN ST., PO BOX 1022, VANCEBORO, NC 28586-1022
(252) 244-3595
(252) 244-3163
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HC2170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6600834
—
NC
Enumeration date
02/17/2009
Last updated
02/18/2009
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