Individual
JAMES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15986 W MAIN ST, LOUISVILLE, MS 39339-2636
(662) 705-5111
Mailing address
PO BOX 5101, JACKSON, MS 39296-5101
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us