WILSON COUNTY RESIDENTIAL SERVICES NPI 1851515977

NPI Information

NPI: 1851515977
Provider Name: WILSON COUNTY RESIDENTIAL SERVICES
Classification: Lodging - 177F00000X
Entity Type: Organization

CLIA Number: 34D2048291

Address:
731 SE 3RD ST
SNOW HILL, NC
ZIP 28580
Phone: (252) 747-8267
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WILSON COUNTY RESIDENTIAL SERVICES is a lodging in Snow Hill, NC. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. WILSON COUNTY RESIDENTIAL SERVICES NPI is 1851515977. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

731 SE 3RD ST
SNOW HILL, NC
ZIP 28580-644
Phone: (252) 747-8267
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 CLIA number assigned to this NPI record is 34D2048291 - other - group home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	177F00000X	Lodging				Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WG000150	OTHER	NORTH CAROLINA	APARTMENT SITES

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

NPI Synchronization or Removal

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