Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY MATTOCKS
Active Sole ProprietorSTACEY MATTOCKS is a Assisted Living Facility healthcare provider located in PLANTATION, Florida. NPI 1144639899 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · PLANTATION, FL
Registration Details
- NPI Number
- 1144639899
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2014 (11.992620583777 yrs)
- Last Updated
- Aug 7, 2014
- License
-
AL12547 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6839 NW 15TH STPLANTATION, FL, 333135318Browse FL providers · Browse ZIP 33313
- Phone
- 9543173979
- Fax
- 9543173331
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in PLANTATION, FL
| Name | Credential | NPI |
|---|---|---|
| AUTHEIL FRECKLETON | — | 1023808003 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.