Individual
MADLYN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 WESTHAMPTON DR, PALM COAST, FL 32164-4013
(847) 338-7599
Mailing address
170 WESTHAMPTON DR, PALM COAST, FL 32164-4013
(847) 338-7599
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123
—
FL
Enumeration date
02/02/2017
Last updated
01/11/2019
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