Organization
WILSON HOME HEALTH SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LENNIS MARIE WILSON BS, MS (CHIEF EXECUTIVE OFFICER)
(757) 277-2750
Entity
Organization
Contact information
Practice address
1015 TRUMAN RD, SUFFOLK, VA 23434-3634
(757) 277-2750
Mailing address
1015 TRUMAN RD, SUFFOLK, VA 23434-3634
(757) 277-2750
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
07/21/2022
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