Mack, Sherika

Mack, Sherika is an individual health care provider with primary practice located at 6921 Nw 22Nd St , Gainesville FL 32653-1228. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Mack, Sherika can be contacted via phone (352) 554-5231.

Contact Information

Primary practice address
6921 Nw 22Nd St Gainesville FL 32653-1228
Phone: (352) 554-5231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X 104017500 Florida

Profile Details

NPI number 1881349314
LBN Legal business name Mack, Sherika
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2022
Last updated Feb 14th, 2022 - about 2 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 1881349314 NPPES
Florida Other 320900000X HOME AND COMMUNITY BASED SERVICES WAIVER
Florida MEDICAID 104017500 HOME AND COMMUNITY BASED SERVICES WAIVER
Florida MEDICAID 320900000X HOME AND COMMUNITY BASED SERVICES WAIVER

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