Mabell'S Place in Waco - Licensed Vocational Nurse
Mabell'S Place - NPI 1770770703
Mabell'S Place is a Licensed Vocational Nurse in Waco, Texas. Mabell'S Place practices all healthcare services and medical treatments related to Licensed Vocational Nurse. The NPI Number for Mabell'S Place is 1770770703. The last update date is 2007-10-03.
Mabell'S Place's current location address is Po Box 3525, Waco, Texas. You can contact this provider via phone number 2547525434 and fax number 2547524478. The mailing address for Mabell'S Place is Po Box 3525, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mabell'S Place |
|---|---|
| Address | Po Box 3525, Waco, Texas |
| Phone Number | 2547525434 |
| Fax Number | 2547524478 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hickman Marie Alice |
| Credentials | NURSE |
| Telephone Number | 2547525434 |
NPI Number Detail
| NPI Number | 1770770703 |
|---|---|
| Provider Enumeration Date | 2007-10-03 |
| Last Updated Date | 2007-10-03 |
Provider Mailing Address Detail
| Address | Po Box 3525 |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767070525 |
| Phone Number | 2547525434 |
| Fax Number | 2547524478 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Vocational Nurse |
|---|---|
| Taxonomy | 164X00000X |
| Licence No | 126265 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 873000 | TX | -- |
Post Comment/ Review Below
What is the Mabell'S Place's unique identification number?
The Mabell'S Place has been assigned the NPI (National Provider Identifier) Number 1770770703 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Mabell'S Place located?
The Mabell'S Place is located at Po Box 3525, Waco, TX 767070525.
What is the Mabell'S Place's specialty and taxonomy code?
The Mabell'S Place's specialty is Licensed Vocational Nurse, and the corresponding taxonomy code is 164X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770770703 to Mabell'S Place?
The Mabell'S Place received its 1770770703 assignment from the Centers for Medicare & Medicaid Services on 2007-10-03.
As of what date were the details related to Mabell'S Place most recently updated or revised?
The information pertaining to Mabell'S Place, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-03.