SUPREME LOVE
NPI 1891922217
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wilson, NC

Active since June 11, 2009
4232 COGHILL DR N, WILSON, NC 27896(252) 234-6163(252) 234-6163 Get Directions Write a Review

NPPES record last updated: June 11, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Supreme Love NPPES

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

SUPREME LOVE (NPI 1891922217) 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 June 2009. The organization lists Betty Forsythe, Owner, as its authorized official.

NPPES Registry Identity

NPI1891922217
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSUPREME LOVE
Location Address4232 COGHILL DR NWilson, NC 27896-9503
Mailing Address4232 Coghill Dr NWilson, NC 27896-9503 · (252) 234-6163 · Fax (252) 234-6163
Fax(252) 234-6163
Organization SubpartNo
Authorized OfficialBetty ForsytheOwner · (252) 234-6163
Enumeration DateJune 11, 2009
NPI 1891922217 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 · MHL098132
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.

4232 COGHILL DR N, Wilson, NC 27896

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
4232 COGHILL DR N
WILSON, NC 27896

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891922217, enumerated as an "organization" on June 11, 2009.

The provider is located at 4232 COGHILL DR N WILSON, NC 27896 and the phone number is (252) 234-6163.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.