| Wilmington Home Group Home | |
|
28 Beauregard Dr Wilmington NC 28412-6702 | |
| (910) 251-2555 | |
| (910) 251-0590 |
| Full Name | Wilmington Home Group Home |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 28 Beauregard Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Edward Martin Walsh (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3362071545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilmington Home Group Home Po Box 4203 Wilmington NC 28406-1203 Ph: (910) 251-2555 | Wilmington Home Group Home 28 Beauregard Dr Wilmington NC 28412-6702 Ph: (910) 251-2555 |
| NPI Number | 1811573025 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 06/03/2021 |
| Certification Date | 06/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811573025 | NPI | - | NPPES |
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