Provider Demographics
NPI:1841736162
Name:WILSON SENIOR SOLUTIONS, INC.
Entity Type:Organization
Organization Name:WILSON SENIOR SOLUTIONS, INC.
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-899-4183
Mailing Address - Street 1:499 S OREM BLVD
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-3102
Mailing Address - Country:US
Mailing Address - Phone:801-899-4183
Mailing Address - Fax:385-241-7502
Practice Address - Street 1:499 S OREM BLVD
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-3102
Practice Address - Country:US
Practice Address - Phone:801-899-4183
Practice Address - Fax:385-241-7502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2016-PCA-UT000686253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care