Individual
KAITLYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 BALDWIN AVE, ELYRIA, OH 44035-7212
(216) 970-7423
Mailing address
512 BALDWIN AVE, ELYRIA, OH 44035-7212
(216) 970-7423
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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