Individual
WILSON NGIDE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
(202) 388-4339
Mailing address
10016 OXBRIDGE WAY, BOWIE, MD 20721-2976
(240) 532-1889
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA12150
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA12150
HOME HEALTH AIDE
DC
Enumeration date
07/16/2016
Last updated
06/23/2023
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