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Roderick Mack
Day Training/Habilitation Specialist in Fort Lauderdale, Florida
NPI 1013669621

Roderick Mack is a Day Training/Habilitation Specialist based in Parkland, FL. Roderick Mack practices in Fort Lauderdale, FL. The NPI Number for Roderick Mack is 1013669621 and holds a License No. (Florida).

The current practice location address for Roderick Mack is 2824 Washington Dr, Fort Lauderdale, FL and can be reached out via phone at 305-992-5119.

Location: 2824 Washington Dr, Fort Lauderdale, FL, 33067-1352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013669621
Provider Name
Roderick Mack
Credential
Provider Entity Type
Individual
Gender
Male
Address
2824 Washington Dr, Fort Lauderdale, FL, 33067-1352
Phone Number
305-992-5119
Fax Number
Provider Enumeration Date
01/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2824 Washington Dr
City
Fort Lauderdale
State
Florida
Zip
33311-6658
Phone Number
305-992-5119
Fax Number
person
Provider Business Mailing Address Details
Address
2824 Washington Dr
City
Fort Lauderdale
State
Florida
Zip
33311-6658
Phone Number
305-992-5119
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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