Organization
HELMS REST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH H WILSON (CO-ADMINISTRATOR)
(704) 843-2472
Entity
Organization
Contact information
Practice address
210 MCCAIN ST, WAXHAW, NC 28173-1038
(704) 843-2472
(704) 843-2555
Mailing address
PO BOX 44, 210 MC CAIN ST, WAXHAW, NC 28173-1038
(704) 843-2472
(704) 843-2555
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCH-90-010
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803123
—
NC
Enumeration date
10/13/2006
Last updated
07/21/2022
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