Individual
ANDREA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
542 TOWNSHIP ROAD 199, PEDRO, OH 45659-8726
(220) 266-8999
Mailing address
542 TOWNSHIP ROAD 199, PEDRO, OH 45659-8726
(220) 266-8999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
02/11/2026
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