NPI 1326792391

Corey Kareen Wilson

Practitioner Developmentally Disabled Services Day Training Agency Leesburg, FL

Practice location

Address: 908 Georgia Ave, Leesburg, FL 34748-3706
Phone: (973) 289-7813
Mailing address: PO Box 1485, Eustis, FL 32727-1485

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Florida →

Registry record

NPI: 1326792391
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Feb 2022
Record last updated: 9 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.