MR. MCKINLEY WILLIAMS MANAGER
NPI 1265747877
Clinic/Center - Adult Day Care in Bridgeport, MI
Active since August 09, 2010
About Mr. Mckinley Williams Manager NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MCKINLEY WILLIAMS MANAGER (NPI 1265747877) is an individual adult day care provider in Bridgeport, Michigan, licensed in Michigan (AS730296526) and active in the NPI registry since August 2010.
NPPES Registry Identity
NPI1265747877
Entity TypeIndividualMale
Primary Taxonomy261QA0600X
Provider Legal NameMR. MCKINLEY WILLIAMSCredential: MANAGER
Location Address3428 S. TOWER LINEBridgeport, MI 48722-9542
Mailing Address3428 S. Tower Line RdBridgeport, MI 48722-9542 · (989) 777-5561 · Fax (989) 777-7326
Phone(989) 777-5561
Fax(989) 777-7326
Sole ProprietorYes
Enumeration DateAugust 9, 2010
Last NPPES UpdateAugust 11, 2010
✔ NPI 1265747877 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License✔ Licensed in MI · AS730296526
3428 S. TOWER LINE, Bridgeport, MI 48722
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265747877, enumerated as an "individual" on August 09, 2010.
The provider is located at 3428 S. TOWER LINE BRIDGEPORT, MI 48722 and the phone number is (989) 777-5561.
Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.
