MEDICARE: SONYA MARIA MOORE-WILLIAMS HOME HEALTH AID

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1790377117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA MARIA MOORE-WILLIAMS HOME HEALTH AID

Provider Business Mailing Address
First Line	:	PO BOX 31
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45404-0031
Country	:	US
Telephone Number	:	937-723-0463
Fax Number	:

Provider Business Practice Location Address
First Line	:	1921 CULVER AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45420-2103
Country	:	US
Telephone Number	:	937-223-8029
Fax Number	:

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

Provider Enumeration Date	:	02/08/2021
Last Update Date	:	10/27/2024

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Directions to “ SONYA MARIA MOORE-WILLIAMS HOME HEALTH AID” Practice Location

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