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Misty Lea Wilson
Attendant Care Provider in Belle Rive, Illinois
NPI 1568139095

Misty Lea Wilson is an Attendant Care Provider based in Benton, IL and is specialized in Attendant Care Provider. Misty Lea Wilson practices in Belle Rive, IL. The NPI Number for Misty Lea Wilson is 1568139095 and holds a License No. (Illinois).

The current practice location address for Misty Lea Wilson is 405 S Main St, Belle Rive, IL and can be reached out via phone at 618-316-1626.

Location: 405 S Main St, Belle Rive, IL, 62812-3234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568139095
Provider Name
Misty Lea Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
405 S Main St, Belle Rive, IL, 62812-3234
Phone Number
618-316-1626
Fax Number
Provider Enumeration Date
08/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
405 S Main St
City
Belle Rive
State
Illinois
Zip
62810-1228
Phone Number
618-316-1626
Fax Number
person
Provider Business Mailing Address Details
Address
405 S Main St
City
Belle Rive
State
Illinois
Zip
62810-1228
Phone Number
618-316-1626
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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