Individual
CHERISE TREHERNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
768 CASCADE RD, CINCINNATI, OH 45240-3906
(513) 680-8014
Mailing address
768 CASCADE RD, CINCINNATI, OH 45240-3906
(513) 680-8014
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2984909
—
OH
Enumeration date
11/16/2020
Last updated
11/16/2020
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