Provider Demographics
NPI:1275229478
Name:THE WILLIAMS HOME DAY GROUP LLC
Entity Type:Organization
Organization Name:THE WILLIAMS HOME DAY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:LAVERNE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-801-8440
Mailing Address - Street 1:6509 SOUTHFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44144-1742
Mailing Address - Country:US
Mailing Address - Phone:216-801-8440
Mailing Address - Fax:
Practice Address - Street 1:6509 SOUTHFIELD AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44144-1742
Practice Address - Country:US
Practice Address - Phone:216-801-8440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services