Provider Demographics
NPI:1982320560
Name:WILLIAMS, ELIZABETH E
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:E
Last Name: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 1:19001 E 8 MILE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-3247
Mailing Address - Country:US
Mailing Address - Phone:734-777-8207
Mailing Address - Fax:
Practice Address - Street 1:19001 E 8 MILE RD STE 105
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-3247
Practice Address - Country:US
Practice Address - Phone:734-777-8207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374U00000X
MI802811221374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide