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Mr. Gregory Eugene Edwards
Assisted Living Facility in Wilson, North Carolina
NPI 1215069240

Gregory Eugene Edwards is an Assisted Living Facility based in Wilson, NC. Gregory Eugene Edwards practices in Wilson, NC. The NPI Number for Gregory Eugene Edwards is 1215069240 and holds a License No. FCL-098-014 (North Carolina).

The current practice location address for Gregory Eugene Edwards is 516 Deans St W, Wilson, NC and can be reached out via phone at 252-399-7069 and via fax at 252-291-9448. You can also correspond with Gregory Eugene Edwards through the mailing address at 516 DEANS ST W, WILSON, NC - 27893-2802 (mailing address contact number: 252-399-7069).

Location: 516 Deans St W, Wilson, NC, 27893-2802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215069240
Provider Name
Gregory Eugene Edwards
Credential
Provider Entity Type
Individual
Gender
Male
Address
516 Deans St W, Wilson, NC, 27893-2802
Phone Number
252-399-7069
Fax Number
252-291-9448
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804541 05 NC
institution
Provider Business Practice Location Address Details
Address
516 Deans St W
City
Wilson
State
North Carolina
Zip
27893-2802
Phone Number
252-399-7069
Fax Number
252-291-9448
person
Provider Business Mailing Address Details
Address
516 Deans St W
City
Wilson
State
North Carolina
Zip
27893-2802
Phone Number
252-399-7069
Fax Number
252-291-9448
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
FCL-098-014 (North Carolina)
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.
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