IndividualActive
Amanda Wilson
NPI 1629874128 · In Home Supportive Care Agency · South Sioux City, NE
Provider details
- NPI number
- 1629874128
- Entity type
- Individual
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
1600 Commerce Way
South Sioux City, NE 68776
Phone: (402) 494-9171
Approximate (ZIP-level) locationGet directions
Mailing address
207 E 6th St Apt 1
Wakefield, NE 68784-5022
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-02-24
- Certified
- 2025-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.