Individual
GAY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
819 NORTHLAND BLVD, CINCINNATI, OH 45240-3118
(513) 206-3437
Mailing address
819 NORTHLAND BLVD, CINCINNATI, OH 45240-3118
(513) 206-3437
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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