MEDICARE: LINDA WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	376K00000X	Nurse's Aide
3	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1255860946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA WILLIAMS

Provider Business Mailing Address
First Line	:	1420 WALNUT ST STE 1207
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-4012
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 WALNUT ST STE 1207
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-4012
Country	:	US
Telephone Number	:	267-243-0395
Fax Number	:	866-910-6113

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

Provider Enumeration Date	:	06/07/2017
Last Update Date	:	08/05/2017

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Directions to “ LINDA WILLIAMS ” Practice Location

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