Vickers, Monica

Vickers, Monica is an sole proprietor health care provider with primary practice located at 2313 Mammoth Grove Rd , Lake Wales FL 33898-8583. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Vickers, Monica can be contacted via phone (863) 206-6439.

Contact Information

Primary practice address
2313 Mammoth Grove Rd Lake Wales FL 33898-8583
Phone: (863) 206-6439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 6906570 Florida

Profile Details

NPI number 1407281660
LBN Legal business name Vickers, Monica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2013
Last updated Sep 6th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407281660 NPPES
Florida MEDICAID 006792400

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