Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA WILLIAMS (2ND OWNER/ ASSISTANT DIRECTOR)
(252) 373-9601
Entity
Organization
Contact information
Practice address
1731 HILLCREST DR W, WILSON, NC 27893-2727
(252) 373-9601
Mailing address
1731 HILLCREST DR W, WILSON, NC 27893-2727
(252) 373-9601
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4382
NC
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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