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NPI Code Detail

MEDICARE: MINNIE L. WILLIAMS-WOODEN

MEDICARE: MINNIE L. WILLIAMS-WOODEN
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
1374U00000XHome Health Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000000000OTHERAPPLY

General Provider Information

NPI Number : 1073035978
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINNIE L. WILLIAMS-WOODEN
Provider Business Mailing Address
First Line : 3430 PHILADELPHIA PIKE UNIT 244
Second Line :
City : CLAYMONT
State : DE
Zip : 19703-7311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3430 PHILADELPHIA PIKE UNIT 244
Second Line :
City : CLAYMONT
State : DE
Zip : 19703-7311
Country : US
Telephone Number : 856-373-8844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2017
Last Update Date : 07/12/2017

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Directions to “ MINNIE L. WILLIAMS-WOODEN ” Practice Location

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