Individual
LEWIS E WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 BRIDGEDALE DR, ROCKY MOUNT, NC 27803-1604
(252) 904-8450
Mailing address
1640 BRIDGEDALE DR, ROCKY MOUNT, NC 27803-1604
(252) 904-8450
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL-064-132
NC
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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