Individual
MARK H HANNAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7018 W BEDFORDSHIRE LOOP, HOMOSASSA, FL 34446-7809
(575) 446-8036
Mailing address
7018 W BEDFORDSHIRE LOOP, HOMOSASSA, FL 34446-7809
(575) 446-8035
(157) 520-1765
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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