Organization
WILSON'S CONSTANT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE NABRENA WILSON (EXECUTIVE DIRECTOR)
(336) 391-3476
Entity
Organization
Contact information
Practice address
1228 HIGHLAND AVE, WINSTON SALEM, NC 27101-1625
(336) 703-9650
(336) 703-9793
Mailing address
1228 HIGHLAND AVE, WINSTON SALEM, NC 27101-1625
(336) 703-9650
(336) 703-9793
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418250
—
NC
Enumeration date
08/27/2007
Last updated
08/27/2007
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