Provider Demographics
NPI:1861188963
Name:MACKEY, PERRI
Entity type:Individual
Prefix:
First Name:PERRI
Middle Name:
Last Name:MACKEY
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 1:521 N HIGH ST APT C
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3156
Mailing Address - Country:US
Mailing Address - Phone:740-277-3127
Mailing Address - Fax:
Practice Address - Street 1:521 N HIGH ST APT C
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3156
Practice Address - Country:US
Practice Address - Phone:740-277-3127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide