Organization
MAISON DEWILLIAMS, INC
Active
Organization
MAISON DEWILLIAMS, 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
Mailing address
PO BOX 1267, 828 LATIOLAIS DR, BREAUX BRIDGE, LA 70517-1267
(337) 332-5329
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
9653
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1132039
—
LA
Enumeration date
02/12/2009
Last updated
02/12/2009
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