Provider Demographics
NPI:1568121572
Name:HODRICK, ALECIA LACHAAN
Entity Type:Individual
Prefix:MS
First Name:ALECIA
Middle Name:LACHAAN
Last Name:HODRICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4802 NW 33RD PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-5979
Mailing Address - Country:US
Mailing Address - Phone:352-562-2067
Mailing Address - Fax:
Practice Address - Street 1:4802 NW 33RD PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-5979
Practice Address - Country:US
Practice Address - Phone:352-562-2067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide