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Individual

SHAQUANTA BELONDA WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1179 FOXWOOD DR, DOUGLASVILLE, GA 30134-6401
(478) 262-0915
Mailing address
1179 FOXWOOD DR, DOUGLASVILLE, GA 30134-6401
(478) 262-0915

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
172V00000X
Community Health Worker
174200000X
Meals Provider
251B00000X
Case Management Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
343900000X
Non-emergency Medical Transport (VAN)
374U00000X
Home Health Aide
376J00000X
Homemaker
385H00000X
Respite Care

Other

Enumeration date
10/14/2021
Last updated
03/16/2022
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