<Unavail>

LBN: Wilson House Llc
<Unavail> is an health care organization with primary practice located at 1800 Martin Luther King Jr Pkwy Se , Wilson NC 27893-6527. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Adult Care Home, Transportation Services / Non-emergency Medical Transport (VAN). Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Wilson House Llc can be contacted via phone (252) 237-4243, or through Trefzger, Charles E via phone (828) 322-5535.

Contact Information

Primary practice address
1800 Martin Luther King Jr Pkwy Se Wilson NC 27893-6527
Phone: (252) 237-4243
Fax: (252) 237-4222
Website:
Map and Directions
Authorized official contact:
Name: Trefzger, Charles E
Phone: (828) 322-5535

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-098-023 North Carolina
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1679621841
LBN Legal business name Wilson House Llc
DBA Doing business as <Unavail>
Authorized official Trefzger, Charles E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2007
Last updated Nov 1st, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679621841 NPPES
North Carolina MEDICAID 7805561

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