Provider Demographics
NPI:1700306370
Name:LK WILLIAMS HOME CARE LLC
Entity Type:Organization
Organization Name:LK WILLIAMS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOSELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-581-3247
Mailing Address - Street 1:3316 SEWELLS POINT RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-2237
Mailing Address - Country:US
Mailing Address - Phone:757-581-3247
Mailing Address - Fax:866-824-1268
Practice Address - Street 1:3316 SEWELLS POINT RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-2237
Practice Address - Country:US
Practice Address - Phone:757-581-3247
Practice Address - Fax:866-824-1268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty