Individual
SHAMBA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1332 GUST LN, CHESAPEAKE, VA 23323-2930
(757) 270-0526
Mailing address
1332 GUST LN, CHESAPEAKE, VA 23323-2930
(757) 270-0526
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us