James Wilson
NPI #1992369102 in Louisville, Mississippi
Provider Information
- NPI Number
- 1992369102
- Entity Type
- Individual
- Name
- James Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility - Assisted Living, Mental Illness
- Enumeration Date
- Apr 24, 2019
- Last Updated
- Apr 24, 2019
Practice Location
- Address
- 15986 W MAIN ST
- City
- Louisville
- State
- Mississippi
- ZIP Code
- 39339-2636
- Phone
- (662) 705-5111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Custodial Care Facility - Adult Care Home — Adult Care Home |
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
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