Individual provider · Type 1 NPI

Vanessa Williams

Adult Care Home Facility · St. Louis, MO

NPI number 1053781443 Active

Practice location

5757 Park Ln
St. Louis, MO 63147-1019

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1053781443

Vanessa Williams's National Provider Identifier is 1053781443, issued on Sep 29, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in St. Louis, MO. The record was last updated on Sep 29, 2015.