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NPI Code Detail

MEDICARE: TATANISHA WILLIAMS-PRICE

MEDICARE:   TATANISHA  WILLIAMS-PRICE
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1871222596
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATANISHA WILLIAMS-PRICE
Provider Business Mailing Address
First Line : 3309 CEDARBROOK RD
Second Line :
City : CLEVELAND HTS
State : OH
Zip : 44118-2905
Country : US
Telephone Number : 216-632-4829
Fax Number :
Provider Business Practice Location Address
First Line : 3309 CEDARBROOK RD
Second Line :
City : CLEVELAND HTS
State : OH
Zip : 44118-2905
Country : US
Telephone Number : 216-632-4829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2022
Last Update Date : 06/08/2022

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Directions to “ TATANISHA WILLIAMS-PRICE ” Practice Location

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