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MACK AND BEDFORD CONSULTING AND SUPPORTIVE NPI 1285861591


NPI Information

NPI: 1285861591
Provider Name: MACK AND BEDFORD CONSULTING AND SUPPORTIVE

Doing Business As: JERALD MACK SR

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
7512 OXFORD GARDEN CIR
APOLLO BEACH, FL
ZIP 33572
Phone: (813) 965-6914
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MACK AND BEDFORD CONSULTING AND SUPPORTIVE is an adult care home custodial care facility in Apollo Beach, FL. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. MACK AND BEDFORD CONSULTING AND SUPPORTIVE NPI is 1285861591. The provider is registered as an organization entity type.
The provider Is Doing Business As Jerald Mack Sr.

The provider's business location address is:

7512 OXFORD GARDEN CIR
APOLLO BEACH, FL
ZIP 33572-730
Phone: (813) 965-6914
Fax: (786) 219-3284

The provider's authorized official is Jerald Mack .
The authorized official title is Owner / Ceo and has the following contact phone number (813) 965-6914.

The enumeration date for this NPI number is 6/12/2009 and was last updated on 6/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care Home6906334FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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