MEDICARE: MRS. ALTHEA WILLIAMS

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
1	3747P1801X	Personal Care Attendant	9297	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215982384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALTHEA WILLIAMS

Provider Business Mailing Address
First Line	:	5620 SAINT CLAUDE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-2534
Country	:	US
Telephone Number	:	504-945-8118
Fax Number	:	504-328-5412

Provider Business Practice Location Address
First Line	:	5620 SAINT CLAUDE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-2534
Country	:	US
Telephone Number	:	504-945-8118
Fax Number	:	504-328-5412

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	07/09/2007

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