Provider Demographics
NPI:1790377117
Name:MOORE-WILLIAMS, SONYA MARIA (HOME HEALTH AID)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:MARIA
Last Name:MOORE-WILLIAMS
Suffix:
Gender:F
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404-0031
Mailing Address - Country:US
Mailing Address - Phone:937-723-0463
Mailing Address - Fax:
Practice Address - Street 1:1921 CULVER AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45420-2103
Practice Address - Country:US
Practice Address - Phone:937-223-8029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty