Mccormick- Nelson, Mandisa Fayola
Mccormick- Nelson, Mandisa Fayola is an sole proprietor health care provider with primary practice located at 1534 Beecher Dr , Saint Louis MO 63136-2306. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Attendant Care Provider, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Mccormick- Nelson, Mandisa Fayola can be contacted via phone (131) 422-9122.Contact Information
Primary practice address
1534 Beecher Dr
Saint Louis MO 63136-2306
Phone: (131) 422-9122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X | ||
| Agencies / Home Health | 251E00000X | Missouri |
Profile Details
| NPI number | 1356945000 |
|---|---|
| LBN Legal business name | Mccormick- Nelson, Mandisa Fayola |
| Credentials | ASSISTIVE CARE PRO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2020 |
| Last updated | Jan 19th, 2021 - about 4 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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