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General NPI Number Information
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NPI Number | 1053227991
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Entity Type | Organization
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Legal Business Name | WILSON'S INTEGRITY STAFFING & HEALTHCARE (WISH) AGENCY
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 1014 JOHNNY RUSSELL DRIVE
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City | MOORHEAD
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State | MS
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Zip | 38761-0036
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Country | US
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Telephone | 662-378-7508
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 36
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City | MOORHEAD
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State | MS
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Zip | 38761-0036
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Country | US
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Telephone | 662-378-7508
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STAR J WILSON
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Credential | RN
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Telephone | 662-378-7508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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