Individual
RENDA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9433 PARKWAY E STE B, BIRMINGHAM, AL 35215-8322
(205) 704-1593
Mailing address
9433 PARKWAY E STE B, BIRMINGHAM, AL 35215-8322
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AL
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/21/2015
Last updated
07/29/2015
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