JOLETHA WILLIAMS


Address: 601 Mcdonald St, Waycross, GA 31503-4704
Phone: 9122838587

JOLETHA WILLIAMS (NPI# 1245337146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245337146
Entity Type Individual
Full Name JOLETHA WILLIAMS
Practice Address 601 Mcdonald St
Waycross
GA 31503-4704
Practice Telephone 9122838587
Mailing Telephone 9122838587
Enumeration Date 2006-09-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities GA Residential Treatment Facilities

Office Location

Street Address 601 MCDONALD ST
City WAYCROSS
State GA
Zip Code 31503-4704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144592379 Joletha Williams Community/Behavioral Health 601 Mcdonald St, Waycross, GA 31503-4704 2012-02-03
1598090581 Miss Jos PCh Intermediate Care Facility, Mentally Retarded 601 Mcdonald St, Waycross, GA 31503-4704 2009-10-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770855868 Bertha Richardsaon Community/Behavioral Health 1614 Carswell Ave, Waycross, GA 31503 2012-02-03
1134365893 Carla Pye Winn Nurse Practitioner 1003 Mary St, Waycross, GA 31503 2008-12-31
1801051297 Unison Behavioral Health Substance Abuse Rehabilitation Facility 3455 Harris Road, Waycross, GA 31503 2008-07-24
1073650115 Unison Behavioral Health Community/Behavioral Health 1003 Mary Street, Waycross, GA 31503 2007-01-30
1588701635 Unison Behavioral Health Community/Behavioral Health 2033 Bell Street, Waycross, GA 31503 2007-01-30
1801933957 Unison Behavioral Health Day Training, Developmentally Disabled Services 3201 Harris Road, Waycross, GA 31503 2007-01-30
1902943046 Unison Behavioral Health Community/Behavioral Health 310 Williams Street, Waycross, GA 31503 2007-01-30
1285770578 Unison Behavioral Health Community/Behavioral Health 305 N Nicholls Street, Waycross, GA 31503 2007-01-30
1538223672 Diversified Resources, Inc. Case Manager/Care Coordinator 147 Knight Ave Cir, Waycross, GA 31503 2006-12-21
1669578167 James Gregory Morris Dentist 2458 Memorial Drive, Waycross, GA 31503 2006-09-15
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487185492 Donnel Cross Host Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1007 Mary St, Waycross, GA 31503-3823 2017-03-22
1780126185 Willie Colquitt Host Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1007 Mary St, Waycross, GA 31503-3823 2016-11-16
1669922332 Altomese Neloms Host Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1007 Mary St, Waycross, GA 31503-3823 2016-10-06
1396121778 Dailey/spell Host Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1007 Mary St, Waycross, GA 31503-3823 2015-08-07
1508255688 Unison Behavioral Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1007 Mary St, Waycross, GA 31503-3823 2015-01-13
1871998229 Unison Behavioral Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1007 Mary St, Waycross, GA 31503-3823 2014-10-28
1063559011 Unison Behavioral Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1007 Mary Street, Waycross, GA 31503 2007-01-31
1437296472 Unison Behavioral Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1007 Mary Street, Waycross, GA 31503 2007-01-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437764925 Calveina Forde Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 538 Country Lake Dr, Mcdonough, GA 30252-2683 2020-09-10
1730715814 Tyler Rose Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 116 South Mill Creek Court, Woodstock, GA 30188 2020-03-20
1023677713 Earlean Blackwell Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1865 Waldrep Cir Se, Marietta, GA 30060-4927 2019-06-06
1629535216 Carpenter Host Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 806 Grady Ave N, Douglas, GA 31533-4812 2019-03-01
1700354859 View Point Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 160 Longstreet Cir, Oxford, GA 30054-2244 2018-11-07
1760950901 View Point Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2116 Tudor Castle Cir, Decatur, GA 30035-2158 2018-11-06
1144747437 Willie Mae Berry Pugh Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2013 Teal Court, Hephzibah, GA 30815 2017-08-28
1881116721 Springhill Manor Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 600 Spring Hill Drive, Covington, GA 30016 2017-07-12
1093175283 Peaceful River Residential Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 746 Rudgate Rd, Columbus, GA 31904-2929 2016-03-01
1548649494 Prestige Community Living Center Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2328 Bigwood Trl, Atlanta, GA 30349-9049 2015-05-26
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Competitor

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City WAYCROSS
Zip Code 31503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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