| Organization Name: | WILKERSON HEALTH CARE INC |
| NPI Number: | 1689709164 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHYLLIS BRUCE (RN DIRECTOR) |
| Mailing Address: | 1636 Gravois Rd High Ridge |
| State: | MO US |
| Postal Code: | 630492606 |
| Phone Number: | 6366777759 |
| Fax Number: | |
| NPI Enumeration Date: | 02/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 0003794 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |