Provider Demographics
NPI:1013543651
Name:WILSON COUNTY OFFICE OF SENIOR CITIZENS AFFAIRS
Entity Type:Organization
Organization Name:WILSON COUNTY OFFICE OF SENIOR CITIZENS AFFAIRS
Other - Org Name:WILSON COUNTY OFFICE OF SENIOR CITIZENS AFFAIRS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:RAPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-237-1303
Mailing Address - Street 1:2101 TARBORO ST SW STE C
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-3431
Mailing Address - Country:US
Mailing Address - Phone:252-237-1303
Mailing Address - Fax:252-991-7034
Practice Address - Street 1:2101 TARBORO ST SW STE C
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-3431
Practice Address - Country:US
Practice Address - Phone:252-237-1303
Practice Address - Fax:252-991-7034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals