Individual
MR. PETER PAUL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 FROST RD, MANTUA, OH 44255-9487
(216) 339-9401
Mailing address
3301 FROST RD, MANTUA, OH 44255-9487
(216) 339-9401
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000274471
OAKS.STATE.OH.US OHIO SHARED SERVICES
OH
Enumeration date
09/22/2020
Last updated
11/13/2020
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