Provider Demographics
NPI:1326873357
Name:WILLIAMS JR, DARLINGSTON H JR
Entity type:Individual
Prefix:
First Name:DARLINGSTON
Middle Name:H
Last Name:WILLIAMS JR
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 26TH ST S APT 306
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-5253
Mailing Address - Country:US
Mailing Address - Phone:612-220-2877
Mailing Address - Fax:
Practice Address - Street 1:5450 26TH ST S APT 306
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-5253
Practice Address - Country:US
Practice Address - Phone:612-220-2877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant