Individual provider · Type 1 NPI
Antonia Mack, RN
Nursing Care Agency · Hollywood, SC
Practice location
6720 Hollytree Dr
Hollywood, SC 29449-6919
Mailing address
524 Still Heights Ln
Summerville, SC 29486-7152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Care Agency Primary | 251J00000X | 270246 (SC) |
| Registered Nurse | 163W00000X | 270246 (SC) |
| In Home Supportive Care Agency | 253Z00000X | 270246 (SC) |
Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
About NPI 1124694088
Antonia Mack, RN's National Provider Identifier is 1124694088, issued on Jun 1, 2021. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Hollywood, SC. The record was last updated on Aug 18, 2026.