MEDICARE: WILLIAMS CARING HEARTS, INC

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	26311669	TX

General Provider Information

NPI Number	:	1760883771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMS CARING HEARTS, INC

Provider Business Mailing Address
First Line	:	10925 BRIAR FOREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-2255
Country	:	US
Telephone Number	:	832-885-9659
Fax Number	:

Provider Business Practice Location Address
First Line	:	8630 EASTON COMMONS DR
Second Line	:	APT 802
City	:	HOUSTON
State	:	TX
Zip	:	77095-3048
Country	:	US
Telephone Number	:	832-880-2721
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. DANISHA WILLIAMS
Credential	:
Telephone Number	:	832-880-2721

Provider Enumeration Date	:	09/09/2014
Last Update Date	:	09/09/2014

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