Provider Demographics
NPI:1477103752
Name:THE CARTER WILLIAMS GROUP, LLC
Entity Type:Organization
Organization Name:THE CARTER WILLIAMS GROUP, LLC
Other - Org Name:CARTERS CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-422-7837
Mailing Address - Street 1:1806 OAKBROOK CT
Mailing Address - Street 2:
Mailing Address - City:SAUK VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60411-5289
Mailing Address - Country:US
Mailing Address - Phone:708-595-7542
Mailing Address - Fax:
Practice Address - Street 1:1806 OAKBROOK CT
Practice Address - Street 2:
Practice Address - City:SAUK VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60411-5289
Practice Address - Country:US
Practice Address - Phone:833-422-7837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care