Organization
MACK AND BEDFORD CONSULTING AND SUPPORTIVE
Active
Other names
Jerald Mack SR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERALD MACK SR. B.A. (OWNER / CEO)
(813) 965-6914
Entity
Organization
Contact information
Practice address
7512 OXFORD GARDEN CIR, APOLLO BEACH, FL 33572-1730
(813) 965-6914
(786) 219-3284
Mailing address
7512 OXFORD GARDEN CIR, APOLLO BEACH, FL 33572-1730
(813) 965-6914
(786) 219-3284
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906334
FL
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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