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Derrick Jose Williams
Private Vehicle in Canton, Ohio
NPI 1780370825

Derrick Jose Williams is a Private Vehicle based in Canton, OH. Derrick Jose Williams practices in Canton, OH. The NPI Number for Derrick Jose Williams is 1780370825 and holds a License No. RP085271 (Ohio).

The current practice location address for Derrick Jose Williams is 2013 7Th St Ne, Canton, OH and can be reached out via phone at 330-232-0379. You can also correspond with Derrick Jose Williams through the mailing address at 2013 7TH ST NE, CANTON, OH - 44704-1969 (mailing address contact number: 330-232-0379).

Location: 2013 7Th St Ne, Canton, OH, 44704-1969
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780370825
Provider Name
Derrick Jose Williams
Credential
Provider Entity Type
Individual
Gender
Male
Address
2013 7Th St Ne, Canton, OH, 44704-1969
Phone Number
330-232-0379
Fax Number
Provider Enumeration Date
04/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2013 7Th St Ne
City
Canton
State
Ohio
Zip
44704-1969
Phone Number
330-232-0379
Fax Number
person
Provider Business Mailing Address Details
Address
2013 7Th St Ne
City
Canton
State
Ohio
Zip
44704-1969
Phone Number
330-232-0379
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Home Delivered Meals
Speciality
-
Taxonomy
332U00000X
License No.
RP085271 (Ohio)
Definition
Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
RP085271 (Ohio)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
RP085271 (Ohio)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
person
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
RP085271 (Ohio)
Definition
Definition to come.
person
Provider's Taxonomy Details 5
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
RP085271 (Ohio)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
person
Provider's Taxonomy Details 6
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
RP085271 (Ohio)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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