MEDICARE: DIONTEYA 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	374U00000X	Home Health Aide	UR837876	OH

General Provider Information

NPI Number	:	1730925744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIONTEYA WILLIAMS

Provider Business Mailing Address
First Line	:	2815 ALBRECHT AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-2701
Country	:	US
Telephone Number	:	917-605-9133
Fax Number	:

Provider Business Practice Location Address
First Line	:	2815 ALBRECHT AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-2701
Country	:	US
Telephone Number	:	917-605-9133
Fax Number	:

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

Provider Enumeration Date	:	07/08/2024
Last Update Date	:	07/08/2024

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