Provider Demographics
NPI:1679350052
Name:WILSON, AALIYAH MONEA
Entity type:Individual
Prefix:
First Name:AALIYAH
Middle Name:MONEA
Last Name:WILSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 RAVINE PARK VILLAGE ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43605-4906
Mailing Address - Country:US
Mailing Address - Phone:567-440-4630
Mailing Address - Fax:
Practice Address - Street 1:146 RAVINE PARK VILLAGE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43605-4906
Practice Address - Country:US
Practice Address - Phone:567-440-4630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health
No376J00000XNursing Service Related ProvidersHomemaker