Provider Demographics
NPI:1215508189
Name:CUICO-WILLIAMS CORPORATION
Entity type:Organization
Organization Name:CUICO-WILLIAMS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CUICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-444-8868
Mailing Address - Street 1:8627 BOTHWELL RD
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4112
Mailing Address - Country:US
Mailing Address - Phone:805-444-8868
Mailing Address - Fax:818-927-6066
Practice Address - Street 1:8627 BOTHWELL RD
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4112
Practice Address - Country:US
Practice Address - Phone:805-444-8868
Practice Address - Fax:818-927-6066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility