Organization
WILSON RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES WILSON JR. (OWNER)
(870) 295-3557
Entity
Organization
Contact information
Practice address
1679 HIGHWAY 243 S, MARIANNA, AR 72360-8529
(870) 295-3557
(870) 295-3686
Mailing address
1679 HIGHWAY 243 S, MARIANNA, AR 72360-8529
(870) 295-3557
(870) 295-3686
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
12/27/2024
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