Provider Demographics
NPI:1871273169
Name:WILLIAMS, NANCY C (NONMEDICAL HOMECARE)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:C
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NONMEDICAL HOMECARE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5920 E SHIRLEY LN
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-1955
Mailing Address - Country:US
Mailing Address - Phone:334-549-4009
Mailing Address - Fax:
Practice Address - Street 1:5920 E SHIRLEY LN
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-1955
Practice Address - Country:US
Practice Address - Phone:334-549-4009
Practice Address - Fax:334-647-1181
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemaker
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No374K00000XNursing Service Related ProvidersReligious Nonmedical PractitionerGroup - Multi-Specialty