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NPI Code Detail

MEDICARE: WILMED GENERATIONS,INC.

MEDICARE: WILMED GENERATIONS,INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityNH0530NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912902628
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILMED GENERATIONS,INC.
Provider Business Mailing Address
First Line : 1705 TARBORO ST SW
Second Line :
City : WILSON
State : NC
Zip : 27893-3428
Country : US
Telephone Number : 252-399-8998
Fax Number : 252-399-8996
Provider Business Practice Location Address
First Line : 1705 TARBORO ST SW
Second Line :
City : WILSON
State : NC
Zip : 27893-3428
Country : US
Telephone Number : 252-399-8998
Fax Number : 252-399-8996
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. BETTY E. LANCASTER
Credential : RN,BSN
Telephone Number : 252-399-8998
Provider Enumeration Date : 06/17/2005
Last Update Date : 09/24/2012

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Directions to “WILMED GENERATIONS,INC. ” Practice Location

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