MS. Wanda Faye Wilson

NPI #1043643133 in Monticello, Florida

Provider Information

NPI Number
1043643133
Entity Type
Individual
Name
MS. Wanda Faye Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Aug 13, 2013
Last Updated
Aug 13, 2013

Practice Location

Address
2510 ST AUGUSTINE RD
State
Florida
ZIP Code
32344-6938
Phone
(850) 780-0426

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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