MEDICARE: T WILLIAMS ENTERPRISES LLC

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	251E00000X	Home Health Agency	HCO-17900	VA
2	385H00000X	Respite Care
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1366885881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T WILLIAMS ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	1021 EDEN WAY N
Second Line	:	SUITE 120
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-2776
Country	:	US
Telephone Number	:	757-424-9800
Fax Number	:	757-424-9801

Provider Business Practice Location Address
First Line	:	1021 EDEN WAY N
Second Line	:	SUITE 120
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-2776
Country	:	US
Telephone Number	:	757-424-9800
Fax Number	:	757-424-9801

Authorized Official
Title or Position	:	OWNER
Name	:	MS. TARSHA L WILLIAMS
Credential	:
Telephone Number	:	757-424-9800

Provider Enumeration Date	:	04/15/2013
Last Update Date	:	06/17/2019

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Directions to “T WILLIAMS ENTERPRISES LLC ” Practice Location

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