IndividualActive
Larry Wellman
NPI 1023138161 · Lodging Provider · Wilson, NC
Provider details
- NPI number
- 1023138161
- Entity type
- Individual
- Primary specialty
- Lodging ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- MHL098077 (NC)
Specialties & taxonomies
Other Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
410 Garner St W
Wilson, NC 27893-2835
Phone: (252) 237-4242
Fax: (252) 237-8917
Approximate (ZIP-level) locationGet directions
Mailing address
410 Garner St W
Wilson, NC 27893-2835
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2008-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.