| Organization Name: | RACHELLE MACK |
| NPI Number: | 1134368954 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RACHELLE R MACK (LICSENSED PRACTICAL NURSE) |
| Mailing Address: | 2647 Orono Pike Reynoldsburg |
| State: | OH US |
| Postal Code: | 430684133 |
| Phone Number: | 6146578329 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2009 |
| NPI Last Update Date: | 02/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 311ZA0620X |
| License Number: | PN 129744 IV |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Custodial Care Facility |
| Taxonomy Specialization: | Adult Care Home |
| Taxonomy Definition: | A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |