Organization
FVE SE WILSON LLC
Active
Organization
FVE SE WILSON LLC
Active
Other names
Parkwood Village
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
1730 PARKWOOD BLVD W, WILSON, NC 27893-3564
(252) 237-9050
(252) 237-9093
Mailing address
400 CENTRE ST, NEWTON, MA 02458-2094
(617) 796-8387
(617) 796-8385
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-098-029
NC
Other
Enumeration date
07/18/2011
Last updated
03/28/2019
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