Provider Demographics
NPI:1285266585
Name:SELF DIRECTED CARING PROFESSIONALS
Entity type:Organization
Organization Name:SELF DIRECTED CARING PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-456-6447
Mailing Address - Street 1:18040 HISTORY LAND HWY
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:VA
Mailing Address - Zip Code:22572-3050
Mailing Address - Country:US
Mailing Address - Phone:804-456-6447
Mailing Address - Fax:
Practice Address - Street 1:18040 HISTORY LAND HWY
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:VA
Practice Address - Zip Code:22572-3050
Practice Address - Country:US
Practice Address - Phone:804-456-6447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health