Provider Demographics
NPI:1720628258
Name:JAMES-WILLIAMS, REBECCA GALE
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:GALE
Last Name:JAMES-WILLIAMS
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 1:61 HOOVER ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-5138
Mailing Address - Country:US
Mailing Address - Phone:740-644-0731
Mailing Address - Fax:
Practice Address - Street 1:61 HOOVER ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-5138
Practice Address - Country:US
Practice Address - Phone:740-644-0731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide