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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CAROLYN DIANE PERRY

Active Sole Proprietor

MRS. CAROLYN DIANE PERRY is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in WILSON, North Carolina. NPI 1194843839 is currently active in the NPPES registry. Verify at CMS.

Intellectual Disabilities Residential Treatment Facility · WILSON, NC

Registration Details

NPI Number
1194843839
Provider Type
Individual
Gender
Female
NPI Issued
Mar 27, 2007 (19.419877801419 yrs)
Last Updated
Jul 8, 2007
Licenses
098050 (NC)
MHL-098-050 (NC)
Sole Proprietor
Yes

Practice Information

Address
108 STADIUM ST SW
WILSON, NC, 278934749
Browse NC providers · Browse ZIP 27893
Phone
2522437174
Fax
2522067175
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.