Provider Demographics
NPI:1427471507
Name:MAYS, EUGENIA DELPHINE (ADULT FAMILY CARE HO)
Entity type:Individual
Prefix:
First Name:EUGENIA
Middle Name:DELPHINE
Last Name:MAYS
Suffix:
Gender:F
Credentials:ADULT FAMILY CARE HO
Other - Prefix:MRS
Other - First Name:EUGENIA
Other - Middle Name:DELPHINE
Other - Last Name:MAYS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ADULT FAMILY CARE HO
Mailing Address - Street 1:2606 4TH ST E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-3813
Mailing Address - Country:US
Mailing Address - Phone:941-580-0622
Mailing Address - Fax:941-761-5888
Practice Address - Street 1:2606 4TH ST E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-3813
Practice Address - Country:US
Practice Address - Phone:941-580-0622
Practice Address - Fax:941-761-5888
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-27
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL238897372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002843500Medicaid