Most Relevant Information
Provider Data
| NPI Number: | 1003323080 |
| Provider Name: | ROOSEVELT V WILLIAMS CDCA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | CDCA.160191 |
Most Important Dates
| Enumeration Date: | 12/29/2017 |
| Last Updated: | 12/29/2017 |
Provider Practice Location
3222 W CENTRAL AVE
TOLEDO
OH
436062929
Practice Location Phone/Fax
| Phone: | 5673167253 |
| Fax: |
Provider Mailing Location
3222 W CENTRAL AVE
TOLEDO
OH
436062929
Provider Mailing Phone/Fax
| Phone: | 5673167253 |
| Fax: |