Provider Demographics
NPI:1952671802
Name:BROOKS-WILLIAMS
Entity Type:Organization
Organization Name:BROOKS-WILLIAMS
Other - Org Name:WORTHY WALKING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LIZZELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS-WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:ASSOCIATE
Authorized Official - Phone:504-874-7266
Mailing Address - Street 1:PO BOX 58876
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70158-8876
Mailing Address - Country:US
Mailing Address - Phone:504-874-7266
Mailing Address - Fax:504-822-8417
Practice Address - Street 1:5424 CONGRESS DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-2402
Practice Address - Country:US
Practice Address - Phone:504-874-7266
Practice Address - Fax:504-822-8417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)