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NPI Code Detail

MEDICARE: DARNELL A WILLIAMS III

MEDICARE:   DARNELL A WILLIAMS III
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
1172A00000XDriver73554462OH
2253Z00000XIn Home Supportive Care Agency73554462OH
33747P1801XPersonal Care Attendant73554462OH
4385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care73554462OH
5376J00000XHomemaker73554462OH

General Provider Information

NPI Number : 1194594275
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARNELL A WILLIAMS III
Provider Business Mailing Address
First Line : 1259 HOMEWOOD AVE SW
Second Line :
City : CANTON
State : OH
Zip : 44710-2154
Country : US
Telephone Number : 234-804-2160
Fax Number :
Provider Business Practice Location Address
First Line : 1259 HOMEWOOD AVE SW
Second Line :
City : CANTON
State : OH
Zip : 44710-2154
Country : US
Telephone Number : 234-804-2160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2023
Last Update Date : 12/29/2023

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Directions to “ DARNELL A WILLIAMS III ” Practice Location

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