Individual
DANTE LYDELL WILLIAMS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5455 N MARGINAL RD APT 304, CLEVELAND, OH 44114-3942
(216) 420-3940
Mailing address
5455 N MARGINAL RD APT 304, CLEVELAND, OH 44114-3942
(216) 420-3940
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000
PRIVATE PAY
OH
Enumeration date
03/24/2020
Last updated
03/24/2020
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