Wilson- Jefferson, Lisa

Wilson- Jefferson, Lisa is an sole proprietor health care provider with primary practice located at 3854 Paper Birch Ln , Lithonia GA 30038-3342. She recently has 4 registered licenses in different health care specialties including Suppliers / Home Delivered Meals, Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care, Physical Disabilities, Child, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Wilson- Jefferson, Lisa can be contacted via phone (678) 480-5054.

Contact Information

Primary practice address
3854 Paper Birch Ln Lithonia GA 30038-3342
Phone: (678) 480-5054
Fax: (888) 884-6471
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Delivered Meals 332U00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1497124291
LBN Legal business name Wilson- Jefferson, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2015
Last updated Jun 11th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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