Hill, Jimmie Wilson

Hill, Jimmie Wilson is an sole proprietor health care provider with primary practice located at 554 Halls Creek Rd , New Bern NC 28560-5722. He recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care. Agencies / Day Training, Developmentally Disabled Services is his primary health care specialty. Hill, Jimmie Wilson can be contacted via phone (252) 745-5761.

Contact Information

Primary practice address
554 Halls Creek Rd New Bern NC 28560-5722
Phone: (252) 745-5761
Fax: (252) 745-7750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X MHL-069-006 North Carolina
Agencies / Community/Behavioral Health 251S00000X MHL-069-006 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MH069-006 North Carolina
Respite Care Facility / Respite Care 385H00000X MHL-069-006 North Carolina

Profile Details

NPI number 1013124957
LBN Legal business name Hill, Jimmie Wilson
Credentials CEO
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013124957 NPPES
North Carolina MEDICAID 3409210

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