MEDICARE: WILLIAMS HEALTCARE,INC.

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	313M00000X	Nursing Facility/Intermediate Care Facility	313M00000X	TX

General Provider Information

NPI Number	:	1215995626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMS HEALTCARE,INC.

Provider Business Mailing Address
First Line	:	505 S SYLVAN AVE
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-4447
Country	:	US
Telephone Number	:	903-729-3246
Fax Number	:	903-729-8083

Provider Business Practice Location Address
First Line	:	505 S SYLVAN AVE
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-4447
Country	:	US
Telephone Number	:	903-729-3246
Fax Number	:	903-729-8083

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRISTY LYNN SINGLETON
Credential	:
Telephone Number	:	903-729-3246

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	08/22/2020

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