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General NPI Number Information
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NPI Number | 1104413301
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Entity Type | Organization
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Legal Business Name | J & C WILLIAMS HOME HEALTH, LLC
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Dates
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Enumeration Date | 12/22/2020
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 304 N 6TH ST
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-3221
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Country | US
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Telephone | 870-551-4028
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Fax | 870-551-4098
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Provider Business Mailing Address
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Address Line | 304 N 6TH ST
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-3221
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Country | US
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Telephone | 901-262-7217
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN WILLIAMS
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Credential |
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Telephone | 901-262-7217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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