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NPI Code Detail

MEDICARE: DEANNA JOY WILLIAMS

MEDICARE:   DEANNA JOY 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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1568226629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA JOY WILLIAMS
Provider Business Mailing Address
First Line : 1796 HOLLYWOOD ST NE
Second Line :
City : WARREN
State : OH
Zip : 44483-4158
Country : US
Telephone Number : 330-707-5044
Fax Number :
Provider Business Practice Location Address
First Line : 1796 HOLLYWOOD ST NE
Second Line :
City : WARREN
State : OH
Zip : 44483-4158
Country : US
Telephone Number : 330-707-5044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2024
Last Update Date : 02/09/2024

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Directions to “ DEANNA JOY WILLIAMS ” Practice Location

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