Organization
BRENDA WILLIAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMARRIA WILLIAMSLEWIS BSHA, MPA (MANAGER)
(832) 884-1359
Entity
Organization
Contact information
Practice address
8113 WAY ST, HOUSTON, TX 77028-1445
(832) 884-1359
(713) 635-8881
Mailing address
8113 WAY ST, HOUSTON, TX 77028-1445
(832) 884-1359
(713) 635-8881
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891383907
—
TX
Enumeration date
01/27/2021
Last updated
01/27/2021
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