Supreme Love
Supreme Love is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wilson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.
- Licensed in
- NC
- In the registry since
- 2009
Practice location Address checks out
4232 Coghill Dr NWilson, NC 27896-9503
Phone: (252) 234-6163
Fax: (252) 234-6163
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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 MHL098132 (NC) |
|---|
Record details
| NPI number | 1891922217 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Betty Forsythe — Owner · (252) 234-6163 |
| NPI enumerated | June 11, 2009 |
| Last updated in NPPES | June 11, 2009 |
| Mailing address | 4232 Coghill Dr N, Wilson, NC 27896-9503 |
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