MEDICARE: H & W WILLIAMS INC.

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	3104A0625X	Assisted Living Facility (Mental Illness)
2	3104A0625X	Assisted Living Facility (Mental Illness)	AL5485	FL

General Provider Information

NPI Number	:	1881954659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H & W WILLIAMS INC.

Provider Business Mailing Address
First Line	:	1451 NW 20TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-3523
Country	:	US
Telephone Number	:	954-524-2867
Fax Number	:	954-764-2259

Provider Business Practice Location Address
First Line	:	1451 NW 20TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-3523
Country	:	US
Telephone Number	:	954-524-2867
Fax Number	:	954-764-2259

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. HANNAH WILLIAMS
Credential	:	ADMINISTRATOR
Telephone Number	:	954-524-2867

Provider Enumeration Date	:	05/25/2012
Last Update Date	:	02/28/2023

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