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Mrs. Dawn Rae Mack
Adult Care Home Facility in Bradenton, Florida
NPI 1659674893

Dawn Rae Mack is an Adult Care Home Facility based in Bradenton, FL and is specialized in Adult Care Home. Dawn Rae Mack practices in Bradenton, FL. The NPI Number for Dawn Rae Mack is 1659674893 and holds a License No. 6906357 (Florida).

The current practice location address for Dawn Rae Mack is 2104 55Th Ave W, Bradenton, FL and can be reached out via phone at 941-727-7304 and via fax at 941-756-0741. You can also correspond with Dawn Rae Mack through the mailing address at 2104 55TH AVE W, BRADENTON, FL - 34207-3240 (mailing address contact number: 941-727-7304).

Location: 2104 55Th Ave W, Bradenton, FL, 34207-3240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659674893
Provider Name
Dawn Rae Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
2104 55Th Ave W, Bradenton, FL, 34207-3240
Phone Number
941-727-7304
Fax Number
941-756-0741
Provider Enumeration Date
12/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2104 55Th Ave W
City
Bradenton
State
Florida
Zip
34207-3240
Phone Number
941-727-7304
Fax Number
941-756-0741
person
Provider Business Mailing Address Details
Address
2104 55Th Ave W
City
Bradenton
State
Florida
Zip
34207-3240
Phone Number
941-727-7304
Fax Number
941-756-0741
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6906357 (Florida)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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