Individual provider · Type 1 NPI
Carolyn Diane Perry
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Wilson, NC
Practice location
108 Stadium St SW
Wilson, NC 27893-4749
Fax (252) 206-7175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 098050 (NC) |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL-098-050 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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.
2 other providers at this address
About NPI 1194843839
Carolyn Diane Perry's National Provider Identifier is 1194843839, issued on Mar 27, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Wilson, NC. The record was last updated on Jul 8, 2007.