Mazon, Lenora

Mazon, Lenora is an sole proprietor health care provider with primary practice located at 307A S Main St , Havana FL 32333-2007. She recently has 9 registered licenses in different health care specialties including Other Service Providers / Driver, Agencies / Day Training, Developmentally Disabled Services, Agencies / In Home Supportive Care, Transportation Services / Private Vehicle, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Physical Disabilities, Child, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Mazon, Lenora can be contacted via phone (850) 616-5005.

Contact Information

Primary practice address
307A S Main St Havana FL 32333-2007
Fax:
Website:

Profile Details

NPI number 1619430246
LBN Legal business name Mazon, Lenora
Credentials MMA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2019
Last updated Jun 11th, 2019 - about 5 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 1619430246 NPPES
Florida MEDICAID 0401

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