Individual provider · Type 1 NPI

Dawn Rae Mack

Adult Care Home Facility · Bradenton, FL

NPI number 1659674893 Active

Practice location

2104 55th Ave W
Bradenton, FL 34207-3240

Call (941) 727-7304 Map

Fax (941) 756-0741

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X6906357 (FL)

Adult Care Home Facility: 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.

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About NPI 1659674893

Dawn Rae Mack's National Provider Identifier is 1659674893, issued on Dec 9, 2010. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Bradenton, FL. The record was last updated on Dec 9, 2010.