Healthcare Provider Details

I. General information

NPI: 1053852087
Provider Name (Legal Business Name): WILLIAMS MOBILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 03/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5716 FOLSOM BLVD STE 152
SACRAMENTO CA
95819-4608
US

IV. Provider business mailing address

5716 FOLSOM BLVD STE 152
SACRAMENTO CA
95819-4608
US

V. Phone/Fax

Practice location:
  • Phone: 916-905-6065
  • Fax:
Mailing address:
  • Phone: 916-905-6065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: REBECCA WILLIAMS
Title or Position: OWNER
Credential:
Phone: 916-905-6065