Provider Demographics
NPI:1932513405
Name:WILKINSON CARE GIVING, LLC
Entity Type:Organization
Organization Name:WILKINSON CARE GIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GENUSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-974-3394
Mailing Address - Street 1:43222 PECAN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-0605
Mailing Address - Country:US
Mailing Address - Phone:985-429-0119
Mailing Address - Fax:985-542-0137
Practice Address - Street 1:43222 PECAN RIDGE DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-0605
Practice Address - Country:US
Practice Address - Phone:985-429-0119
Practice Address - Fax:985-542-0137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203781991253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care