MISS DAISY'S GENTLEMEN OF THE FUTURE INC.
NPI 1033204300
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wilson, NC

Q: What is Miss Daisy's Gentlemen Of The Future Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since October 04, 2006

304 FAIRVIEW AVE SW, WILSON, NC 27893(252) 293-4683(252) 291-6962 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miss Daisy's Gentlemen Of The Future Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS DAISY'S GENTLEMEN OF THE FUTURE INC. (NPI 1033204300) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Wilson, North Carolina and active in the NPI registry since October 2006. The organization lists Tonya Fuller Johnson, Director/qualified Professional, as its authorized official.

NPPES Registry Identity

NPI1033204300

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameMISS DAISY'S GENTLEMEN OF THE FUTURE INC.

Location Address304 FAIRVIEW AVE SWWilson, NC 27893-4817

Mailing Address304 Fairview Ave SwWilson, NC 27893-4817 · (252) 293-4683 · Fax (252) 291-6962

Phone(252) 293-4683

Fax(252) 291-6962

Organization SubpartNo

Authorized OfficialTonya Fuller JohnsonDirector/qualified Professional · (252) 363-5446

Enumeration DateOctober 4, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1033204300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in NC · MHL098100

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

304 FAIRVIEW AVE SW, Wilson, NC 27893

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Other Identifiers 1

Medicaid6603888NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miss Daisy's Gentlemen Of The Future Inc.'s NPI number?

The NPI number for Miss Daisy's Gentlemen Of The Future Inc. is 1033204300. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Miss Daisy's Gentlemen Of The Future Inc. located?

Miss Daisy's Gentlemen Of The Future Inc. is located at 304 Fairview Ave SW, Wilson, NC 27893. The listed phone number is (252) 293-4683.

What is Miss Daisy's Gentlemen Of The Future Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Miss Daisy's Gentlemen Of The Future Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.