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Contact Information

LISA D MACK
1014 HARVEST GROVE CT
HOPE MILLS, NC28348-9272
 Phone: 910-364-5219
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for LISA D MACK · (Female)

NPI Number 1306305248
Status Active
Credentials
Entity Individual
Enumeration date 03/19/2019
Last updated 03/19/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NC License # HC4287
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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