| NPI | 1497124291 |
|---|---|
| Former Name | LISA MARIE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 332U00000X Home Delivered Meals |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2019-06-11 |