Individual ProviderJustin Robert WilliamsAdult CompanionNursing Service Related ProvidersPractice Address121 Downey Ave, Modesto, CA 95354-1208(209) 341-1824(619) 770-0469PECOS EnrollmentBased on the most recent information from CMS, provider Justin Robert Williams does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1225636541Provider TypeIndividualFull NameWilliams, Justin RobertCredentialCADC-IGenderMaleSole ProprietorYesEnumeration Date10/9/2020Last Updated5/20/2025Contact InformationPractice LocationPractice Address121 Downey Ave, Modesto, CA 95354-1208Phone(209) 341-1824FaxUnlisted FaxMailing LocationMailing Address121 Downey Ave, Modesto, CA 95354-1208Phone(619) 770-0469FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode372600000XPrimaryDescriptionAdult CompanionNursing Service Related ProvidersLicenseUnlisted IssuerCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseR1406751020California