MEDICARE: MARY ELIZABETH FELIX

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	486804166	CA

General Provider Information

NPI Number	:	1205768686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELIZABETH FELIX

Provider Business Mailing Address
First Line	:	3777 VACA VALLEY PKWY # B
Second Line	:
City	:	VACAVILLE
State	:	CA
Zip	:	95688-9430
Country	:	US
Telephone Number	:	707-640-9700
Fax Number	:	707-949-9948

Provider Business Practice Location Address
First Line	:	3777 VACA VALLEY PKWY # B
Second Line	:
City	:	VACAVILLE
State	:	CA
Zip	:	95688-9430
Country	:	US
Telephone Number	:	707-640-9700
Fax Number	:	707-949-9948

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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