Organization
THE CARTER WILLIAMS GROUP, LLC
Active
Other names
Carters Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WILLIAMS III (CEO)
(708) 595-7542
Entity
Organization
Contact information
Practice address
5209 HOHMAN AVE STE 3011, HAMMOND, IN 46320-1719
(833) 422-7837
Mailing address
5209 HOHMAN AVE STE 3011, HAMMOND, IN 46320-1719
(833) 422-7837
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-014317
INDIANA STATE DEPARTMENT OF HEALTH
IN
Enumeration date
01/10/2019
Last updated
01/10/2019
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