Provider Demographics
NPI:1104465087
Name:HILL, FELICIA LATOYA
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:LATOYA
Last Name:HILL
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 1:213 ROSECLIFF DR
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-7923
Mailing Address - Country:US
Mailing Address - Phone:256-658-6013
Mailing Address - Fax:
Practice Address - Street 1:213 ROSECLIFF DR
Practice Address - Street 2:
Practice Address - City:HARVEST
Practice Address - State:AL
Practice Address - Zip Code:35749-7923
Practice Address - Country:US
Practice Address - Phone:256-658-6013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-25
Last Update Date:2019-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide