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General NPI Number Information
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NPI Number | 1669052163
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Entity Type | Organization
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Legal Business Name | WILSON IN HOME, INC.
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 711 KAPIOLANI BLVD STE 450
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City | HONOLULU
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State | HI
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Zip | 96813-5237
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Country | US
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Telephone | 808-596-4486
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Fax | 808-356-1531
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Provider Business Mailing Address
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Address Line | PO BOX 2058
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City | HONOLULU
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State | HI
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Zip | 96805-2058
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | SHELLEY WILSON
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Credential |
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Telephone | 808-596-4486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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