# MACK AND BEDFORD CONSULTING AND SUPPORTIVE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jerald Mack SR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285861591
- **Authorized official:** MR. JERALD MACK SR. B.A. (OWNER / CEO)
- **Authorized official phone:** (813) 965-6914

## Contact information

- **Practice address:** 7512 OXFORD GARDEN CIR, APOLLO BEACH, FL 33572-1730
- **Practice address phone:** (813) 965-6914
- **Practice address fax:** (786) 219-3284
- **Mailing address:** 7512 OXFORD GARDEN CIR, APOLLO BEACH, FL 33572-1730
- **Mailing address phone:** (813) 965-6914
- **Mailing address fax:** (786) 219-3284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906334 | FL | Yes |

## Other

- **Enumeration date:** 06/12/2009
- **Last updated:** 06/12/2009