| Organization Name: | WILKES SENIOR RESOURCES, INC. |
| NPI Number: | 1972931780 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS BROWN (FAMILY SERVICES DIRECTOR) |
| Mailing Address: | 228 Fairplains School Rd N Wilkesboro |
| State: | NC US |
| Postal Code: | 286593101 |
| Phone Number: | 3366675926 |
| Fax Number: | 3366678295 |
| NPI Enumeration Date: | 10/15/2013 |
| NPI Last Update Date: | 10/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | HC0544 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |