Provider Demographics
NPI:1356853261
Name:MAHALIA H. CARRY, ARNP LLC
Entity Type:Organization
Organization Name:MAHALIA H. CARRY, ARNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHALIA
Authorized Official - Middle Name:HILDA
Authorized Official - Last Name:CARRY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:305-522-1849
Mailing Address - Street 1:10010 NW 131ST ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1658
Mailing Address - Country:US
Mailing Address - Phone:305-522-1849
Mailing Address - Fax:786-352-7009
Practice Address - Street 1:10010 NW 131ST ST
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-1658
Practice Address - Country:US
Practice Address - Phone:305-522-1849
Practice Address - Fax:786-352-7009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health