Individual provider · Type 1 NPI
James Wilson
Assisted Living Facility (Mental Illness) · Louisville, MS
Practice location
15986 W Main St
Louisville, MS 39339-2636
Mailing address
PO Box 5101
Jackson, MS 39296-5101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | None listed |
Assisted Living Facility (Mental Illness): 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.
About NPI 1992369102
James Wilson's National Provider Identifier is 1992369102, issued on Apr 24, 2019. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Louisville, MS. The record was last updated on Apr 24, 2019.