Individual
MATTIE NEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
890 INDEPENDENT ST, MONTICELLO, FL 32344-1510
(850) 212-0785
Mailing address
890 INDEPENDENT ST, MONTICELLO, FL 32344-1510
(850) 212-0785
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
237848
FL
Other
Enumeration date
09/14/2019
Last updated
08/28/2021
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