Provider Demographics
NPI:1548325764
Name:WILLIAMS, ROSILAND A
Entity type:Individual
Prefix:
First Name:ROSILAND
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRESHSTART
Other - Middle Name:COMMUNITY
Other - Last Name:LIVING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8328 HIGH BRUSH DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75249-3003
Mailing Address - Country:US
Mailing Address - Phone:214-336-6078
Mailing Address - Fax:214-579-9189
Practice Address - Street 1:8328 HIGH BRUSH DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-3003
Practice Address - Country:US
Practice Address - Phone:214-336-6078
Practice Address - Fax:214-579-9189
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health