Organization
J WILLIAMS ENT, LLC
Active
Other names
Home Instead Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE ANNE WILLIAMS (FRANCHISE OWNER)
(360) 253-6028
Entity
Organization
Contact information
Practice address
9120 NE VANCOUVER MALL LOOP, SUITE 240, VANCOUVER, WA 98662-6353
(360) 253-6028
(360) 253-6029
Mailing address
9120 NE VANCOUVER MALL LOOP, SUITE 240, VANCOUVER, WA 98662-6353
(360) 253-6028
(360) 253-6029
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHS.FS.00000031
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
618263800
FECA
WA
Enumeration date
06/13/2016
Last updated
06/13/2016
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