Williams, Madlyn

Williams, Madlyn is an sole proprietor health care provider with primary practice located at 170 Westhampton Dr , Palm Coast FL 32164-4013. She recently has 2 registered licenses in different health care specialties including Agencies / Foster Care Agency, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Williams, Madlyn can be contacted via phone (847) 338-7599.

Contact Information

Primary practice address
170 Westhampton Dr Palm Coast FL 32164-4013
Phone: (847) 338-7599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1629516315
LBN Legal business name Williams, Madlyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2017
Last updated Jan 11th, 2019 - about 7 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 1629516315 NPPES
Florida MEDICAID 123

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