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NPI Code Detail

MEDICARE: MS. MELINDA WILSON

MEDICARE:  MS. MELINDA  WILSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311ZA0620XAdult Care Home FacilityOH

General Provider Information

NPI Number : 1689549867
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELINDA WILSON
Provider Business Mailing Address
First Line : 1163 PONDVIEW AVE
Second Line :
City : AKRON
State : OH
Zip : 44305-3332
Country : US
Telephone Number : 330-283-0747
Fax Number :
Provider Business Practice Location Address
First Line : 1163 PONDVIEW AVE
Second Line :
City : AKRON
State : OH
Zip : 44305-3332
Country : US
Telephone Number : 330-283-0747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2025
Last Update Date : 10/08/2025

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Directions to “ MS. MELINDA WILSON ” Practice Location

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