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General NPI Number Information
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NPI Number | 1811600349
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Entity Type | Organization
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Legal Business Name | WILSON ESTATE HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 12/29/2022
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 1821 W GALBRAITH RD
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City | CINCINNATI
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State | OH
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Zip | 45239-4848
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Country | US
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Telephone | 513-873-8808
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Fax | 513-873-8507
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Provider Business Mailing Address
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Address Line | 1821 W GALBRAITH RD
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City | CINCINNATI
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State | OH
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Zip | 45239-4848
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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 | PRESIDENT
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Name | SYMONE NICHOLE-MARIE WILSON
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Credential |
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Telephone | 513-873-8808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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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