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FVE SE WILSON LLC NPI 1619265261


NPI Information

NPI: 1619265261
Provider Name: FVE SE WILSON LLC

Doing Business As: PARKWOOD VILLAGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 34D1095429

Address:
1730 PARKWOOD BLVD W
WILSON, NC
ZIP 27893
Phone: (252) 237-9050
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FVE SE WILSON LLC is an assisted living facility in Wilson, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. FVE SE WILSON LLC NPI is 1619265261. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkwood Village.

The provider's business location address is:

1730 PARKWOOD BLVD W
WILSON, NC
ZIP 27893-564
Phone: (252) 237-9050
Fax: (252) 237-9093

The provider's authorized official is Katherine E Potter .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (617) 796-8387.

The CLIA number assigned to this NPI record is 34D1095429 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2011 and was last updated on 3/28/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityHAL-098-029NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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