Organization
DISTINCTIVELY ME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA LADETTE WILSON (OWNER)
(757) 344-2502
Entity
Organization
Contact information
Practice address
614 SMITH ST, HAMPTON, VA 23661-1423
(757) 344-2502
Mailing address
614 SMITH ST, HAMPTON, VA 23661-1423
(757) 344-2502
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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