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Miss Daisy's Gentlemen Of The Future Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wilson, North Carolina
NPI 1033204300

Miss Daisy's Gentlemen Of The Future Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Wilson, NC. Miss Daisy's Gentlemen Of The Future Inc. practices in Wilson, NC. The NPI Number for Miss Daisy's Gentlemen Of The Future Inc. is 1033204300 and holds a License No. MHL098100 (North Carolina).

The current practice location address for Miss Daisy's Gentlemen Of The Future Inc. is 304 Fairview Ave Sw, Wilson, NC and can be reached out via phone at 252-293-4683 and via fax at 252-291-6962.

Location: 304 Fairview Ave Sw, Wilson, NC, 27893-4817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033204300
Provider Name
Miss Daisy's Gentlemen Of The Future Inc.
Credential
Provider Entity Type
Organization
Address
304 Fairview Ave Sw, Wilson, NC, 27893-4817
Phone Number
252-293-4683
Fax Number
252-291-6962
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603888 05 NC
institution
Provider Business Practice Location Address Details
Address
304 Fairview Ave Sw
City
Wilson
State
North Carolina
Zip
27893-4817
Phone Number
252-293-4683
Fax Number
252-291-6962
person
Provider Business Mailing Address Details
Address
304 Fairview Ave Sw
City
Wilson
State
North Carolina
Zip
27893-4817
Phone Number
252-293-4683
Fax Number
252-291-6962
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL098100 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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