Provider Demographics
NPI:1023481330
Name:MCCRARY, FELECIA (HOME HEALTH)
Entity type:Individual
Prefix:
First Name:FELECIA
Middle Name:
Last Name:MCCRARY
Suffix:
Gender:F
Credentials:HOME HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 CALLIS DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1313
Mailing Address - Country:US
Mailing Address - Phone:330-469-3263
Mailing Address - Fax:
Practice Address - Street 1:730 CALLIS DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1313
Practice Address - Country:US
Practice Address - Phone:330-469-3263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker