Organization
RACHELLE MACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHELLE R MACK LPN (LICSENSED PRACTICAL NURSE)
(614) 657-8329
Entity
Organization
Contact information
Practice address
2647 ORONO PIKE, REYNOLDSBURG, OH 43068-4133
(614) 657-8329
Mailing address
2647 ORONO PIKE, REYNOLDSBURG, OH 43068-4133
(614) 657-8329
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
PN 129744 IV
OH
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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