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James Wilson
Assisted Living Facility (Mental Illness) in Louisville, Mississippi
NPI 1992369102

James Wilson is an Assisted Living Facility (Mental Illness) based in Jackson, MS and is specialized in Assisted Living, Mental Illness. James Wilson practices in Louisville, MS. The NPI Number for James Wilson is 1992369102 and holds a License No. (Mississippi).

The current practice location address for James Wilson is 15986 W Main St, Louisville, MS and can be reached out via phone at 662-705-5111.

Location: 15986 W Main St, Louisville, MS, 39296-5101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992369102
Provider Name
James Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
15986 W Main St, Louisville, MS, 39296-5101
Phone Number
662-705-5111
Fax Number
Provider Enumeration Date
04/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15986 W Main St
City
Louisville
State
Mississippi
Zip
39339-2636
Phone Number
662-705-5111
Fax Number
person
Provider Business Mailing Address Details
Address
15986 W Main St
City
Louisville
State
Mississippi
Zip
39339-2636
Phone Number
662-705-5111
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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