OrganizationActive
Wilson County Residential Services, Inc
NPI 1750453098 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Wilson, NC
Provider details
- NPI number
- 1750453098
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gale Purvis, Executive Director(252) 237-4778
- License
- MHL-098-080 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL-098-080 (NC)
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
308 Bragg St Ne
Group Home#1
Wilson, NC 27893-3202
Phone: (252) 243-3022
Fax: (252) 206-1681
Street-level locationGet directions
Mailing address
115 Hines St W
Wilson, NC 27893-3924
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.