Williams, Danielle

Williams, Danielle is an sole proprietor health care provider with primary practice located at 4651 Salisbury Rd Ste 400 , Jacksonville FL 32256-6187. She recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Williams, Danielle can be contacted via phone (904) 438-8590.

Contact Information

Primary practice address
4651 Salisbury Rd Ste 400 Jacksonville FL 32256-6187
Phone: (904) 438-8590
Fax: (904) 830-0809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1417575937
LBN Legal business name Williams, Danielle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2020
Last updated Dec 29th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417575937 NPPES
Florida MEDICAID 106646900
Florida MEDICAID 107766400

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