Individual
LATONYA RAE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
737 MILBY DR, CHESAPEAKE, VA 23325-5009
(757) 738-0541
Mailing address
737 MILBY DR, CHESAPEAKE, VA 23325-5009
(757) 738-0541
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
095541
VA
251G00000X
Community Based Hospice Care Agency
095541
VA
315D00000X
Inpatient Hospice
095541
VA
374U00000X
Home Health Aide
095541
VA
385H00000X
Respite Care
095541
VA
Other
Enumeration date
11/08/2017
Last updated
11/13/2017
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