Individual provider · Type 1 NPI

Pamela Lynne Wildermuth, LPN

Adult Care Home Facility · Columbus, OH

NPI number 1629085469 Active

Practice location

4227 Sestos Dr
Columbus, OH 43207-8423

Call (614) 497-8149 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XPN110992 (OH)

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.

Another provider at this address

Other adult care home facility providers in Columbus

See all in Columbus →

About NPI 1629085469

Pamela Lynne Wildermuth, LPN's National Provider Identifier is 1629085469, issued on Aug 2, 2006. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Columbus, OH. The record was last updated on Jul 8, 2007.