Individual provider · Type 1 NPI
Wanda Faye Wilson
Adult Care Home Facility · Monticello, FL
NPI number
1043643133
Active
Practice location
2510 St Augustine Rd
Monticello, FL 32344-6938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 6906542 (FL) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1043643133
Wanda Faye Wilson's National Provider Identifier is 1043643133, issued on Aug 13, 2013. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Monticello, FL. The record was last updated on Aug 13, 2013.