Individual
DONNA JEAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1894 MASSIEVILLE RD, CHILLICOTHE, OH 45601-9390
(740) 956-7091
Mailing address
1894 MASSIEVILLE RD, CHILLICOTHE, OH 45601-9390
(740) 956-7091
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0096605
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096605
—
OH
Enumeration date
07/12/2021
Last updated
07/12/2021
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