Provider Demographics
NPI:1043670029
Name:WILLIAMS WAY HOME CARE PROFESSIONALS
Entity type:Organization
Organization Name:WILLIAMS WAY HOME CARE PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHLOE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-702-0635
Mailing Address - Street 1:30800 NORTHWESTERN HWY STE 233
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2569
Mailing Address - Country:US
Mailing Address - Phone:248-702-0635
Mailing Address - Fax:248-702-0647
Practice Address - Street 1:30800 NORTHWESTERN HWY STE 233
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2569
Practice Address - Country:US
Practice Address - Phone:248-702-0635
Practice Address - Fax:248-702-0647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No347C00000XTransportation ServicesPrivate Vehicle