Provider Demographics
NPI:1528394764
Name:WILSONS HEALTH CARE CORPORATION
Entity Type:Organization
Organization Name:WILSONS HEALTH CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WA-NGUYAII
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:603-305-0543
Mailing Address - Street 1:PO BOX 7315
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-7315
Mailing Address - Country:US
Mailing Address - Phone:603-305-0543
Mailing Address - Fax:603-888-1177
Practice Address - Street 1:6 DANIEL WEBSTER HWY RM 2
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5097
Practice Address - Country:US
Practice Address - Phone:603-888-1887
Practice Address - Fax:603-888-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03361251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health