MEDICARE: PERRI MACKEY

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1861188963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERRI MACKEY

Provider Business Mailing Address
First Line	:	521 N HIGH ST APT C
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-3156
Country	:	US
Telephone Number	:	740-277-3127
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 N HIGH ST APT C
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-3156
Country	:	US
Telephone Number	:	740-277-3127
Fax Number	:

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

Provider Enumeration Date	:	04/12/2023
Last Update Date	:	02/03/2025

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Directions to “ PERRI MACKEY ” Practice Location

Language	Start Address	Practice Location

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