MEDICARE: SHI'LONDA D WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1275997710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHI'LONDA D WILLIAMS

Provider Business Mailing Address
First Line	:	4319 N 76TH ST STE 9
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-2056
Country	:	US
Telephone Number	:	414-269-9800
Fax Number	:	414-269-9894

Provider Business Practice Location Address
First Line	:	4319 N 76TH ST STE 9
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-2056
Country	:	US
Telephone Number	:	414-269-9800
Fax Number	:	414-269-9894

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2016
Last Update Date	:	04/11/2016

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