Provider Demographics
NPI:1992215362
Name:ARNETT, FELICIA KAYE
Entity Type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:KAYE
Last Name:ARNETT
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 1:3455 ATTAPULGUS HWY
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32352-6697
Mailing Address - Country:US
Mailing Address - Phone:850-363-5244
Mailing Address - Fax:
Practice Address - Street 1:3455 ATTAPULGUS HWY
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32352-6697
Practice Address - Country:US
Practice Address - Phone:850-363-5244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL$$$$$$$$$Medicaid