Deborah Mack
Individual provider Active NPI Homemaker · Stonewall, LA
NPI 1881416634 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1881416634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 1318 Highway 171
Stonewall, LA 71078 - Phone
- (318) 906-5054
- NPI assigned
- Oct 31, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
1318 Highway 171
Stonewall, LA 71078
Mailing address
1318 Highway 171
Stonewall, LA 71078
Phone (318) 906-5054
Other providers in Stonewall, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.