Individual
CATERI S WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
2580 PARKWAY PLZ, MAUMEE, OH 43537-3772
(419) 315-8910
Mailing address
2580 PARKWAY PLZ, MAUMEE, OH 43537-3772
(419) 315-8910
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0250039
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81-4382981
—
OH
Enumeration date
12/09/2020
Last updated
05/20/2021
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