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NPI Code Detail

MEDICARE: CAROL LYN WILLIAMS

MEDICARE:   CAROL LYN 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
1171WH0202XHome Modifications ContractorOH

General Provider Information

NPI Number : 1235840711
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL LYN WILLIAMS
Provider Business Mailing Address
First Line : 6405 SCOVILL AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-1922
Country : US
Telephone Number : 216-744-3374
Fax Number :
Provider Business Practice Location Address
First Line : 6405 SCOVILL AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-1922
Country : US
Telephone Number : 216-744-3374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2022
Last Update Date : 12/06/2022

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Directions to “ CAROL LYN WILLIAMS ” Practice Location

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