IndividualActive
Lometria Wilson
NPI 1497408090 · Nurse's Aide · Latta, SC
Provider details
- NPI number
- 1497408090
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Home Health Agency251E00000X
Agencies
- Clinical Medical Laboratory291U00000X
Laboratories
Laboratories
- Home Delivered Meals332U00000X
Suppliers
- Home Health Aide374U00000X
Nursing Service Related Providers
- Homemaker376J00000X
Nursing Service Related Providers
Practice location
108a E Main St
Latta, SC 29565-1617
Phone: (843) 616-8770
Approximate (ZIP-level) locationGet directions
Mailing address
611 Sandorra Rd
Latta, SC 29565-5323
Registry dates
- Enumerated
- 2022-02-02
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.