Williams Residential 1

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

WILLIAMS RESIDENTIAL 1

Practice address

203 N Maple Ave
Hannibal, MO 63401-3408

Phone

(573) 221-3237

NPI assigned

Jul 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Louise Jean Williams

Title

Administrator

Phone

(573) 221-3237

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1285899732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1073",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634011073",
            "telephone_number": "573-221-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N MAPLE AVE",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013408",
            "telephone_number": "573-221-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS RESIDENTIAL 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-221-3237",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Wilcox
• Sherri M. Wiley
• Tria Wilhite, M.D.
• William J. Esicar, D.M.D., P.C.
• Williams Mark Twain Group Home
• Alyssa Williams, DENTAL HYGIENIST
• Willow Garden of Hannibal, LLC
• Ashley Marting Wilson
• Megan E Wilson, PLPC
• Taylor Wilson

• All providers in Hannibal, MO
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.