Organization Name: | WILSON FAMILY CARE |
NPI Number: | 1326166455 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOM W CROWDER (OWNER) |
Mailing Address: | 221 Center St 221 Center St Star |
State: | NC US |
Postal Code: | 273560602 |
Phone Number: | 9104284675 |
Fax Number: | 9104281518 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | FCL062004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |