Organization Name: | T. WILLIAMS ENTERPRISES LLC |
NPI Number: | 1821332198 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARSHA L WILLIAMS (OWNER) |
Mailing Address: | 1021 Eden Way N Suite 120 Chesapeake |
State: | VA US |
Postal Code: | 233202776 |
Phone Number: | 7574249800 |
Fax Number: | 7574249801 |
NPI Enumeration Date: | 11/26/2012 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | HCO-16900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |