Shawneise Williams
Assisted Living Facility in Gainesville, FL. Individual provider (NPI-1).
NPI number1164044723
StatusActive
Last updated in NPPESMay 17, 2020
Details
- NPI
- 1164044723
- Entity type
- Individual (NPI-1)
- Name
- Shawneise Williams
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2020
- Certification date
- May 17, 2020
- Last updated
- May 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | al13376 | FL | Yes |
Practice location
849 Se 12th StGainesville, FL 32641-8471
Phone 352-388-5765
Mailing address
849 Se 12th StGainesville, FL 32641-8471
Phone 352-388-5765
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