Healthcare Provider Details

I. General information

NPI: 1407792856
Provider Name (Legal Business Name): WIL-CO TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3114 W NORTH AVE
BALTIMORE MD
21216-3012
US

IV. Provider business mailing address

3114 W NORTH AVE
BALTIMORE MD
21216-3012
US

V. Phone/Fax

Practice location:
  • Phone: 443-286-9535
  • Fax: 443-286-9535
Mailing address:
  • Phone: 443-286-9535
  • Fax: 443-286-9535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: NICKIA WILLIAMS
Title or Position: CEO
Credential:
Phone: 443-286-9535