Organization Name: | LATORE WILLIAMS |
NPI Number: | 1831592948 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LATORE WILLIAMS (LPN) |
Mailing Address: | 5300 Ridge Forest Dr Stone Mountain |
State: | GA US |
Postal Code: | 300833882 |
Phone Number: | 4043997713 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2014 |
NPI Last Update Date: | 10/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | LPN082505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |