MEDICARE: WILLIAMS HOME HELP 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	347C00000X	Private Vehicle	W452671799376	MI

General Provider Information

NPI Number	:	1851774673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMS HOME HELP AID

Provider Business Mailing Address
First Line	:	18685 HOOVER ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-2668
Country	:	US
Telephone Number	:	313-394-9860
Fax Number	:

Provider Business Practice Location Address
First Line	:	18685 HOOVER ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-2668
Country	:	US
Telephone Number	:	313-394-9860
Fax Number	:

Authorized Official
Title or Position	:	HOME HELP AID
Name	:	MS. OWINA WILLIAMS
Credential	:
Telephone Number	:	313-394-9860

Provider Enumeration Date	:	06/30/2015
Last Update Date	:	06/30/2015

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Directions to “WILLIAMS HOME HELP AID ” Practice Location

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