Provider Demographics
NPI:1336582634
Name:WILLIAMS HEALTH CARE AGENCY, LLC
Entity Type:Organization
Organization Name:WILLIAMS HEALTH CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAULETT
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-413-7434
Mailing Address - Street 1:335 5TH AVE
Mailing Address - Street 2:APT 12
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514-2177
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:335 5TH AVE
Practice Address - Street 2:APT 12
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514-2177
Practice Address - Country:US
Practice Address - Phone:973-413-7434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care