Mack, Felicia M

Mack, Felicia M is an sole proprietor health care provider with primary practice located at 307 Kendrick Estates Dr , Jonesboro GA 30238-2196. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Adult Companion is her primary health care specialty. Mack, Felicia M can be contacted via phone (678) 758-2092.

Contact Information

Primary practice address
307 Kendrick Estates Dr Jonesboro GA 30238-2196
Phone: (678) 758-2092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1700398690
LBN Legal business name Mack, Felicia M
Credentials PCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2017
Last updated Oct 31st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700398690 NPPES
Georgia Other 000000000 NOT APPLICABLE

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