Provider Demographics
NPI:1659083624
Name:WILLIAM TOTAL HEALTH LLC
Entity Type:Organization
Organization Name:WILLIAM TOTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:KOLAWOLE
Authorized Official - Last Name:OGUNDEYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-803-8584
Mailing Address - Street 1:4 GRISTMILL LN
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-2944
Mailing Address - Country:US
Mailing Address - Phone:443-803-8584
Mailing Address - Fax:
Practice Address - Street 1:4 GRISTMILL LN
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-2944
Practice Address - Country:US
Practice Address - Phone:443-803-8584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care