Individual
TONDALAYA DENISE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 LEROY STEVENS RD, APT35, MOBILE, AL 36695
(251) 930-3578
Mailing address
1450 LEROY STEVENS RD, APT35, MOBILE, AL 36695
(251) 930-3578
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AL
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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