OrganizationActive
Graceland Student Services LLC
NPI 1245847524 · Early Intervention Provider Agency · Wilson, NC
Provider details
- NPI number
- 1245847524
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Krystle Johnson, Co-Owner(919) 593-7324
Specialties & taxonomies
Agencies
- Developmental Therapist222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
610 Fairview Ave.
Wilson, NC 27893
Phone: (919) 593-7324
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 31
Wilson, NC 27894
Registry dates
- Enumerated
- 2020-09-30
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.