Individual provider · Type 1 NPI

Khaiyana Wilson

Home Health Aide · Philadelphia, PA

NPI number 1366203069 Active

Practice location

5508 Pearl St
Philadelphia, PA 19139-2027

Call (267) 226-4557 Map

Fax (267) 367-5656

Mailing address

7244 Castor Ave # 1866
Philadelphia, PA 19149-1109

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Respite Care 385H00000XNone listed
Home Health Aide Primary 374U00000XNone listed

Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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About NPI 1366203069

Khaiyana Wilson's National Provider Identifier is 1366203069, issued on Jan 19, 2024. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 22, 2024.