Organization
WILSON TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME WILSON (OWNER)
(985) 316-6483
Entity
Organization
Contact information
Practice address
100 DIPLOMAT WAY, THIBODAUX, LA 70301-4314
(985) 316-6483
Mailing address
100 DIPLOMAT WAY, THIBODAUX, LA 70301-4314
(985) 316-6483
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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