Organization
STOVALL WILSON HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA DENNIESE STOVALL WILSON LVN (ADMINISTRATOR)
(661) 273-3755
Entity
Organization
Contact information
Practice address
190 SIERRA CT, STE. B 217, PALMDALE, CA 93550-7607
(661) 273-3755
(661) 273-3755
Mailing address
190 SIERRA CT, STE. B 217, PALMDALE, CA 93550-7607
(661) 273-3755
(661) 273-3755
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/02/2006
Last updated
09/11/2025
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