| NPI | 1669553244 |
|---|---|
| Other Name | WILLIAMSON SUPERVISED LIVING HOME |
| Entity Type | Organization |
| Authorized Contact | MONACA MAYE WILLIAMSON Director Of Operations 336-273-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL041663) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2022-07-21 |