Ira Wilson

NPI 1528328606 · on the registry since 2012 · sole proprietor

Practice

Address: 103 S Court St
Cleveland, MS 38732
Phone: (662) 588-5078
Organisation at this address: Serenity Hospice
Delta Soul Medical Homecare
Delta Counseling Services Llc
M & J Angels Home Health Care
Delta Soul Medical Homecare, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi