MEDICARE: MS. MELVINEA 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	374U00000X	Home Health Aide		OH

General Provider Information

NPI Number	:	1356122972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELVINEA WILLIAMS

Provider Business Mailing Address
First Line	:	3059 ROTUNDA CT N
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3922
Country	:	US
Telephone Number	:	614-235-7770
Fax Number	:

Provider Business Practice Location Address
First Line	:	3059 ROTUNDA CT N
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3922
Country	:	US
Telephone Number	:	614-235-7770
Fax Number	:

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

Provider Enumeration Date	:	10/10/2023
Last Update Date	:	10/10/2023

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