Individual
LARICKA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4604 30TH ST APT 2, MOUNT RAINIER, MD 20712-1318
(571) 285-9191
Mailing address
4604 30TH ST APT 2, MOUNT RAINIER, MD 20712-1318
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
374700000X
Technician
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/01/2020
Last updated
10/06/2021
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