# J & C WILLIAMS HOME HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104413301
- **Authorized official:** JOHN WILLIAMS (OWNER)
- **Authorized official phone:** (901) 262-7217

## Contact information

- **Practice address:** 304 N 6TH ST, WEST MEMPHIS, AR 72301-3221
- **Practice address phone:** (870) 551-4028
- **Practice address fax:** (870) 551-4098
- **Mailing address:** 304 N 6TH ST, WEST MEMPHIS, AR 72301-3221
- **Mailing address phone:** (901) 262-7217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |

## Other

- **Enumeration date:** 12/22/2020
- **Last updated:** 05/24/2023