MEDICARE: COLLEENA WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	332U00000X	Home Delivered Meals	OH
2	376J00000X	Homemaker	OH
3	172A00000X	Driver	OH

General Provider Information

NPI Number	:	1952266306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEENA WILLIAMS

Provider Business Mailing Address
First Line	:	2080 W 33RD ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-3902
Country	:	US
Telephone Number	:	216-727-8869
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 W 33RD ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-3902
Country	:	US
Telephone Number	:	216-727-8869
Fax Number	:

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

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “ COLLEENA WILLIAMS ” Practice Location

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