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Organization

WILSON HOUSE LLC

Active
Other names
Wilson House
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES E TREFZGER (MANAGER)
(828) 322-5535
Entity
Organization

Contact information

Practice address
1800 MARTIN LUTHER KING JR PKWY SE, WILSON, NC 27893-6527
(252) 237-4243
(252) 237-4222
Mailing address
PO BOX 2568, HICKORY, NC 28603-2568
(828) 324-8898
(828) 322-9587

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL-098-023
NC
311ZA0620X
Adult Care Home Facility
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7805561
NC
Enumeration date
01/06/2007
Last updated
11/01/2021
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