Henry Wilson
Case Manager/Care Coordinator in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1982125670
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982125670
- Entity type
- Individual (NPI-1)
- Name
- Henry Wilson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
12021 Florida Blvd Ste CBaton Rouge, LA 70815-2739
Phone 225-220-6168
Mailing address
12021 Florida Blvd Ste CBaton Rouge, LA 70815-2739
Phone 225-220-6168
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