| Organization Name: | THERESA WILLIAMS |
| NPI Number: | 1235561069 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THERESA L WILLIAMS (LPN) |
| Mailing Address: | 301 Stone St Wildwood |
| State: | FL US |
| Postal Code: | 347853344 |
| Phone Number: | 3527487032 |
| Fax Number: | 3527487032 |
| NPI Enumeration Date: | 08/02/2013 |
| NPI Last Update Date: | 08/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | WER1234 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |