Individual provider · Type 1 NPI
Larry Wellman
Lodging Provider · Wilson, NC
NPI number
1023138161
Active
Practice location
410 Garner St W
Wilson, NC 27893-2835
Fax (252) 237-8917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | MHL098077 (NC) |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1023138161
Larry Wellman's National Provider Identifier is 1023138161, issued on Mar 30, 2007. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Wilson, NC. The record was last updated on Jun 10, 2008.