Williams, Carla Deanna
Williams, Carla Deanna is an sole proprietor health care provider with primary practice located at 11558 Fremantle Dr , Cincinnati OH 45240-2636. She recently has 4 registered licenses in different health care specialties including Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Developmental Disabilities, Other Service Providers / Prevention Professional, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities is her primary health care specialty. Williams, Carla Deanna can be contacted via phone (513) 405-4674.Contact Information
Primary practice address
11558 Fremantle Dr
Cincinnati OH 45240-2636
Phone: (513) 405-4674
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Voluntary or Charitable | 251V00000X | ||
Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | Ohio | |
Other Service Providers / Prevention Professional | 405300000X | 3058628 | Ohio |
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | 22287064 | Ohio |
Profile Details
NPI number | 1518679984 |
---|---|
LBN Legal business name | Williams, Carla Deanna |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 16th, 2022 |
Last updated | Dec 16th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518679984 | NPPES |
Ohio | MEDICAID | 3124812 |
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