Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss Daisy's Gentlemen of the Future Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1033204300

Miss Daisy's Gentlemen of the Future Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wilson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

304 Fairview Ave SW
Wilson, NC 27893-4817
Phone: (252) 293-4683
Fax: (252) 291-6962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence MHL098100 (NC)

Record details

NPI number1033204300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tonya Johnson — Director/Qualified Professional · (252) 363-5446
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address304 Fairview Ave Sw, Wilson, NC 27893-4817

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