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NPI Code Detail

MEDICARE: LATRICE WILLIAMS

MEDICARE: LATRICE 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
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1568049153
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATRICE WILLIAMS
Provider Business Mailing Address
First Line : PO BOX 14247
Second Line :
City : CINCINNATI
State : OH
Zip : 45250-0247
Country : US
Telephone Number : 513-900-0691
Fax Number :
Provider Business Practice Location Address
First Line : 500 MADISON AVE STE 200
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1230
Country : US
Telephone Number : 513-900-0691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2021
Last Update Date : 02/13/2026

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Directions to “ LATRICE WILLIAMS ” Practice Location

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