WILSON COUNTY RESIDENTIAL SERVICES INC NPI 1750453098

NPI Information

WILSON COUNTY RESIDENTIAL SERVICES, INC is a residential treatment facility, intellectual and/or developmental disabilities in Wilson, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. WILSON COUNTY RESIDENTIAL SERVICES, INC NPI is 1750453098. The provider is registered as an organization entity type.

The provider's business location address is:

308 BRAGG ST NE
GROUP HOME#1
WILSON, NC
ZIP 27893-202
Phone: (252) 243-3022
Fax: (252) 206-1681

The provider's authorized official is Gale Purvis .
The authorized official title is Executive Director and has the following contact phone number (252) 237-4778.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.