Organization
MAISON DE WILLIAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL W WILLIAMS (DIRECTOR)
(337) 332-5329
Entity
Organization
Contact information
Practice address
828 LATIOLAIS DR, BREAUX BRIDGE, LA 70517-4235
(337) 332-5329
(337) 332-5331
Mailing address
828 LATIOLAIS DR, P.O. BOX 1267, BREAUX BRIDGE, LA 70517-4235
(337) 332-5329
(337) 332-5331
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
2675
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557943
—
LA
Enumeration date
12/27/2006
Last updated
08/22/2020
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