Healthcare Provider Details

I. General information

NPI: 1508012915
Provider Name (Legal Business Name): MRS. ROBBIN WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 08/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1197 EDGEWOOD ST NE
WARREN OH
44483-4115
US

IV. Provider business mailing address

1197 EDGEWOOD ST NE
WARREN OH
44483-4115
US

V. Phone/Fax

Practice location:
  • Phone: 330-372-7988
  • Fax:
Mailing address:
  • Phone: 330-372-7988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: