Wilson Residential Care

LBN: Wilson Residential Care
Wilson Residential Care is an health care organization with primary practice located at 1679 Highway 243 S , Marianna AR 72360-8529. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Lodging, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness. Agencies / In Home Supportive Care is the primary health care specialty. Wilson Residential Care can be contacted via phone (870) 295-3557, or through Wilson, James via phone (870) 295-3557.

Contact Information

Primary practice address
1679 Highway 243 S Marianna AR 72360-8529
Phone: (870) 295-3557
Fax: (870) 295-3686
Website:
Map and Directions
Authorized official contact:
Name: Wilson, James
Phone: (870) 295-3557

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X

Profile Details

NPI number 1619439825
LBN Legal business name Wilson Residential Care
DBA Doing business as
Authorized official Wilson, James
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2019
Last updated Apr 5th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619439825 NPPES
Arkansas MEDICAID 121812732

Popular Providers