MEDICARE: MRS. FINISH MODELL MCKENZIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1578417382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FINISH MODELL MCKENZIE

Provider Business Mailing Address
First Line	:	1214 13TH AVE
Second Line	:
City	:	PHENIX CITY
State	:	AL
Zip	:	36867-5618
Country	:	US
Telephone Number	:	706-332-0210
Fax Number	:	706-332-0210

Provider Business Practice Location Address
First Line	:	1214 13TH AVE
Second Line	:
City	:	PHENIX CITY
State	:	AL
Zip	:	36867-5618
Country	:	US
Telephone Number	:	706-332-0210
Fax Number	:	706-332-0210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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Directions to “ MRS. FINISH MODELL MCKENZIE ” Practice Location

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