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MS. WANDA FAYE WILSON
NPI 1043643133
Custodial Care Facility - Adult Care Home in Monticello, FL

Active since August 13, 2013
2510 ST AUGUSTINE RD, MONTICELLO, FL 32344(850) 780-0426 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Wanda Faye Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. WANDA FAYE WILSON (NPI 1043643133) is an individual adult care home provider in Monticello, Florida, licensed in Florida (6906542) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1043643133
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameMS. WANDA FAYE WILSON
Location Address2510 ST AUGUSTINE RDMonticello, FL 32344-6938
Mailing Address2510 St Augustine RdMonticello, FL 32344-6938 · (850) 780-0426
Phone(850) 780-0426
Sole ProprietorYes
Enumeration DateAugust 13, 2013
✔ NPI 1043643133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in FL · 6906542
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2510 ST AUGUSTINE RD, Monticello, FL 32344
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Other Identifiers 1

Medicaid004873400FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Wilson's NPI number?

The NPI number for Wanda Wilson is 1043643133. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Where is Wanda Wilson located?

Wanda Wilson practices at 2510 St Augustine Rd, Monticello, FL 32344. The listed phone number is (850) 780-0426.

What is Wanda Wilson's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Wanda Wilson was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.