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NPI 1962314690

NPI 1962314690 : WILSON IN HOME, INC. : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1962314690
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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     |    09/18/2026
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    Last Update Date     |    09/18/2026
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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                  |    96813-5299
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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         |    711 KAPIOLANI BLVD STE 450 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-5299
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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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Authorized Official
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    Title or Position    |    OWNER
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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        |    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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