Organization Name: | WILLIAMS SR. HOME HEALTH CARE, INC. |
NPI Number: | 1366788200 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA WILLIAMS (OWNER/OPERATOR) |
Mailing Address: | 9 Davison Ave Suite 202 Jamesburg |
State: | NJ US |
Postal Code: | 088311373 |
Phone Number: | 7325612035 |
Fax Number: | 7325612037 |
NPI Enumeration Date: | 12/21/2012 |
NPI Last Update Date: | 12/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HP0169500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |