Individual
CRYSTAL RAE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40328 BURLINGHAM RD, SHADE, OH 45776-9505
(740) 590-9205
Mailing address
40328 BURLINGHAM RD, SHADE, OH 45776-9505
(740) 590-9205
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000307788
—
OH
Enumeration date
10/12/2022
Last updated
10/12/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us