institution
Supreme Love
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wilson, North Carolina
NPI 1891922217

Supreme Love is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Wilson, NC. Supreme Love practices in Wilson, NC. The NPI Number for Supreme Love is 1891922217 and holds a License No. MHL098132 (North Carolina).

The current practice location address for Supreme Love is 4232 Coghill Dr N, Wilson, NC and can be reached out via phone at 252-234-6163 and via fax at 252-234-6163. You can also correspond with Supreme Love through the mailing address at 4232 COGHILL DR N, WILSON, NC - 27896-9503 (mailing address contact number: 252-234-6163).

Location: 4232 Coghill Dr N, Wilson, NC, 27896-9503
institution
Provider Profile Details
NPI Number
1891922217
Provider Name
Supreme Love
Credential
Provider Entity Type
Organization
Address
4232 Coghill Dr N, Wilson, NC, 27896-9503
Phone Number
252-234-6163
Fax Number
252-234-6163
Provider Enumeration Date
06/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4232 Coghill Dr N
City
State
Zip
27896-9503
Phone Number
252-234-6163
Fax Number
252-234-6163
person
Provider Business Mailing Address Details
Address
4232 Coghill Dr N
City
State
Zip
27896-9503
Phone Number
252-234-6163
Fax Number
252-234-6163
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL098132 (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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