Organization
A WILLIAMSON CARE NETWORK, LLC
Active
Other names
Williamson Supervised Living Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONACA MAYE WILLIAMSON (DIRECTOR OF OPERATIONS)
(336) 273-2110
Entity
Organization
Contact information
Practice address
415 N EDGEWORTH ST, SUITE 209, GREENSBORO, NC 27401-2182
(336) 273-2110
(336) 273-2114
Mailing address
PO BOX 16803, GREENSBORO, NC 27416-0803
(336) 273-2110
(336) 273-2114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL041663
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301366B
—
NC
Enumeration date
10/18/2006
Last updated
07/21/2022
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