Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shantice Wilson

Individual provider In Home Supportive Care Agency · NPI 1104666833

Shantice Wilson is an In Home Supportive Care Agency in Oxon Hill, Maryland. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

504 Wilson Bridge Dr Apt A1
Oxon Hill, MD 20745-1843
Phone: (202) 813-7058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1104666833
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 30, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address504 Wilson Bridge Dr Apt A1, Oxon Hill, MD 20745-1843

Other providers in Oxon Hill