PHALLY LANG

Clinic/Center - Adult Day Care

Active Individual
NPI: 1831640929

Practice Address

542 EDGEWOOD AVE S
Jacksonville, FL 32205

Phone: (978) 495-1461

Specialties

Specialty Code Primary License
Clinic/Center - Adult Day Care 261QA0600X Yes -

Frequently Asked Questions

NPI 1831640929 is the National Provider Identifier for PHALLY LANG, a Clinic/Center - Adult Day Care provider located in Jacksonville, FL. This NPI was enumerated on October 24, 2016.
PHALLY LANG practices at 542 EDGEWOOD AVE S, Jacksonville, FL 32205.

Quick Facts

NPI
1831640929
Type
Individual
Enumerated
Oct 24, 2016
Last Updated
Oct 24, 2016

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