Provider Demographics
NPI:1942508064
Name:CACHANDA WILLIAMS
Entity Type:Organization
Organization Name:CACHANDA WILLIAMS
Other - Org Name:SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMISSIONS COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CACHANDA
Authorized Official - Middle Name:RESHAE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:AC
Authorized Official - Phone:601-347-1463
Mailing Address - Street 1:305 ALMOND CREEK ST
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-3303
Mailing Address - Country:US
Mailing Address - Phone:601-347-1463
Mailing Address - Fax:
Practice Address - Street 1:305 ALMOND CREEK ST
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-3303
Practice Address - Country:US
Practice Address - Phone:601-347-1463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty