Individual
MRS. VIOLA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
812 HIGHWAY 82 E, LELAND, MS 38756-9647
(662) 704-5037
Mailing address
812 HIGHWAY 82 E, LELAND, MS 38756-9647
(662) 704-5037
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04403511
—
MS
Enumeration date
07/06/2021
Last updated
07/06/2021
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