Provider Demographics
NPI:1871222596
Name:WILLIAMS-PRICE, TATANISHA
Entity Type:Individual
Prefix:
First Name:TATANISHA
Middle Name:
Last Name:WILLIAMS-PRICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3309 CEDARBROOK RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2905
Mailing Address - Country:US
Mailing Address - Phone:216-632-4829
Mailing Address - Fax:
Practice Address - Street 1:3309 CEDARBROOK RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2905
Practice Address - Country:US
Practice Address - Phone:216-632-4829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care